DR. MICHAEL DAVID DEGOULD (NPI# 1245673441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245673441 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID DEGOULD |
| Credential | DDS |
| Practice Address |
2835 Mcfarland Rd Suite C Rockford IL 61107-6819 |
| Practice Telephone | 8156540039 |
| Practice Fax Number | 8156540650 |
| Mailing Telephone | 8156540039 |
| Mailing Fax Number | 8156540650 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2014-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
019019722 | IL | Dental Providers |
| Street Address |
2835 MCFARLAND RD SUITE C |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841381761 | Dean J Murphy | Dentist | 2835 Mcfarland Rd, Rockford, IL 61107-6819 | 2006-09-27 |
| 1245480367 | Next Level Health,llc | Chiropractor | 2835 Mcfarland Rd, Suite D, Rockford, IL 61107-6819 | 2008-09-25 |
| 1548436579 | Orthodontic Specialties, P.C. | Dentist | 2835 Mcfarland Rd, Suite A, Rockford, IL 61107-6819 | 2008-04-30 |
| 1528240660 | Noel R. Ianno | Dentist | 2835 Mcfarland Rd, Suite B, Rockford, IL 61107-6819 | 2007-11-30 |
| 1063693315 | Edward Bruce Noakes IIi | Dentist | 2835 Mcfarland Rd, Suite B, Rockford, IL 61107-6819 | 2007-11-15 |
| 1194856732 | Gregory J Parsons | Dentist | 2835 Mcfarland Rd, Suite B, Rockford, IL 61107-6819 | 2007-03-07 |
| 1841329224 | Gary W Brankin | Dentist | 2835 Mcfarland Rd, Suite B, Rockford, IL 61107-6819 | 2007-03-03 |
| 1518029230 | Emmett Andrew Blahnik | Chiropractor | 2835 Mcfarland Rd, Suite D, Rockford, IL 61107-6819 | 2006-12-16 |
| 1205905312 | Camelot Endodontics Ltd | Dentist | 2835 Mcfarland Rd, Ste B, Rockford, IL 61107-6819 | 2006-11-06 |
| 1619055134 | Robert F. Mcgarry Jr. | Dentist | 2835 Mcfarland Rd, Suite B, Rockford, IL 61107-6819 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952887374 | Winnebago Braces, LLC. | Dentist | 555 N Court St Ste 110, Rockford, IL 61103-6898 | 2018-07-18 |
| 1811374945 | Alexandria Hawkins | Dentist | 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 | 2015-04-27 |
| 1003977224 | Edward Paul Rentschler | Dentist | 449 Roxbury Road, Rockford, IL 61107 | 2006-12-12 |
| 1346318532 | Michael Degould Dds PC | Dentist | 2835 Mcfarland Road, Suite C, Rockford, IL 61107 | 2006-12-04 |
| 1134127491 | David A. Francis Iv | Dentist | 4035 Morsay Dr, Rockford, IL 61107-4871 | 2005-07-11 |
| 1225574775 | Swedishamerican Hospital | Dentist | 425 Roxbury Rd, Rockford, IL 61107 | 2017-01-09 |
| 1538394580 | Matthew James Bruksch | Dentist | 449 Roxbury Road, Rockford, IL 61107 | 2009-05-20 |
| 1992975551 | Edward P. Rentschler Dds, PC | Dentist | 425 Roxbury Rd, Rockford, IL 61107-5075 | 2008-03-10 |
| 1598805822 | Kurt Fredric Jensen | Dentist | 6050 Brynwood Dr, Ste 102, Rockford, IL 61114-6579 | 2007-02-07 |
| 1326193061 | Swedishamerican Hospital | Dentist | 1401 E State St, Rockford, IL 61104 | 2007-01-24 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.