Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL DAVID DEGOULD, DDS
Active Sole ProprietorDR. MICHAEL DAVID DEGOULD, DDS is a Oral & Maxillofacial Surgery healthcare provider located in ROCKFORD, Illinois. NPI 1245673441 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · ROCKFORD, IL
Registration Details
- NPI Number
- 1245673441
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2013 (13.316152297095 yrs)
- Last Updated
- Sep 10, 2014
- License
-
019019722 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2835 MCFARLAND RDSUITE CROCKFORD, IL, 611076819Browse IL providers · Browse ZIP 61107
- Phone
- 8156540039
- Fax
- 8156540650
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID A. FRANCIS IV | D.D.S. | 1134127491 |
| DR. STEPHEN WOOD ALBERS | DDS | 1295733210 |
| MR. EDWARD PAUL RENTSCHLER | DDS | 1003977224 |
| DR. KURT FREDRIC JENSEN | D.D.S. | 1598805822 |
| MR. MATTHEW JAMES BRUKSCH | DDS FACS | 1538394580 |
| ALEXANDRIA HAWKINS | D.M.D. | 1811374945 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.