Strictly Dental, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STRICTLY DENTAL, INC.

Practice address

3920 E State St
Rockford, IL 61108-2050

Phone

(815) 397-7370

Fax

(815) 962-2255

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Matthew S Peterson

Title

Manager

Phone

(815) 397-7370

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1932598505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082050",
            "telephone_number": "815-397-7370",
            "fax_number": "815-962-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082050",
            "telephone_number": "815-397-7370",
            "fax_number": "815-962-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRICTLY DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-397-7370"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Mar 18, 2015; 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.