Search › Illinois › 1223P0221X
Jacob Dachman, DMD
NPI 1669054839 · on the registry since 2021
Practice
- Address
- 4903 E State St
Rockford, IL 61108 - Phone
- (815) 398-2323
- Organisation at this address
- Pediatric Dentistry Of Northern Illinois Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 3333 Burnet Ave, Cincinnati, OH
- 5 La Quinta Ct, Lake In The Hills, IL
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois