Alex McCoy Daniel, DMD

Dentist · Rockford, IL

Individual Active NPI

NPI number 1578117339

Practice location

6215 E State St
Rockford, IL 61108-2514
Phone
(815) 399-7777

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NPI record

NPI
1578117339
Entity type
Individual (Type 1)
Enumeration date
July 30, 2019
Last updated
September 3, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.032375 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

351 Hampstead Dr
Sugar Grove, IL 60554-2206
Phone
(630) 608-7428

About Dr. Daniel

Alex McCoy Daniel, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6215 E State St, Rockford, IL 61108-2514. The NPI number 1578117339 was assigned on July 30, 2019 and the record was last updated on September 3, 2019.

Dr. Daniel lists a license in the registry: #019.032375 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alex McCoy Daniel, DMD?

The NPI number is 1578117339.

What is the phone number of Dr. Daniel?

The phone number listed for the practice location is (815) 399-7777.

Where is Dr. Daniel located?

6215 E State St, Rockford, IL 61108-2514.

What is the taxonomy code for Dr. Daniel?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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