Strictly Dentures, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STRICTLY DENTURES, INC.

Practice address

615 N Longwood St
Suite 201
Rockford, IL 61107-4265

Phone

(815) 969-0531

Fax

(815) 986-0486

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Melissa R. Peterson

Title

Owner

Phone

(815) 969-0531

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205967940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N LONGWOOD ST",
            "address_2": "SUITE 201",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074265",
            "telephone_number": "815-969-0531",
            "fax_number": "815-986-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N LONGWOOD ST",
            "address_2": "SUITE 201",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074265",
            "telephone_number": "815-969-0531",
            "fax_number": "815-986-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRICTLY DENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-969-0531"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Stovall, DDS
• Sarah Brooke Stovall, DDS
• Mark Stranig
• Street Smartz Chiropractic PLLC
• Strictly Dental, Inc.
• Jody Anne Striker, LCPC
• Aaron V Strom, CO
• Juliette A Strombeck, FNP
• Charles Theodore Strominger III
• Tyler Wesley Stull, LCPC CADC

• Dentist in Rockford, IL
• Providers in Rockford, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.