Grand Smiles 4, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GRAND SMILES 4, PLLC

Practice address

115 7TH St
Rockford, IL 61104-1249

Phone

(815) 597-7777

NPI assigned

Oct 8, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohamed Waheed, DDS

Title

Dentist

Phone

(815) 597-7777

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1194690214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 7TH ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041249",
            "telephone_number": "815-597-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 7TH ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041249",
            "telephone_number": "815-597-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND SMILES 4, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "WAHEED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-597-7777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Louise Gossett, RN, BSN
• Kavitha Gowda, D.D.S.
• Ruby Lanelle Gowdy
• Vijay K Goyal, M.D.
• Jacek W Graczykowski, MD
• Grand Victorian of Rockford
• Grand Victorian of Rockford, LLC
• Aleah Aaron Grant, NP
• Ronald S Grant, MD
• Courtney Leanne Gray, ATC

• General Practice Dentistry in Rockford, IL
• Providers in Rockford, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.