Ronald H Schiffers, DDS
Individual provider Active NPI Public Health Dentistry · Rock Falls, IL
NPI 1780628263 · NPPES record last updated Jan 27, 2012
Key facts
- NPI
- 1780628263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health Dentistry 1223D0001X
- License
- 019019182 (IL)
- Practice address
- 1308 W 2ND St
Rock Falls, IL 61071-1005 - Phone
- (815) 626-2230
- Fax
- (815) 626-6339
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019019182 | IL | MD | Public Health Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 019019182 | IL | Yes |
Addresses
Primary practice location
1308 W 2ND St
Rock Falls, IL 61071-1005
Mailing address
1708 Marvin Pkwy
Park Ridge, IL 60068-2425
Phone (847) 698-1259
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003626 | Other | IL | DORAL PROVIDER NUMBER |
Other providers in Rock Falls, IL
- Riverdale Elem SCH Dist 14
- Rock Falls Elem School Dist 13
- Lisa Ann Rodriguez
- Muhammad Salahuddin
- Cynthia E Sanchez Vazquez
- Scuba Optics Inc
- Scuba Optics, Inc
- Denice Smith
- Pamela Ann Stephens I
- Steven C. Butzen DMD
All providers in Rock Falls, IL · Public Health Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.