Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAMUEL MOORE WALLDEN, D.M.D.

Active

DR. SAMUEL MOORE WALLDEN, D.M.D. is a General Dentistry healthcare provider located in ROCKFORD, Illinois. NPI 1811348287 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ROCKFORD, IL

Registration Details

NPI Number: 1811348287
Provider Type: Individual
Gender: Male
NPI Issued: Jun 28, 2016 (10.14332086021 yrs)
Last Updated: Jun 28, 2016
License: 019.030757 (IL)

Practice Information

Address: 6075 VANTAGE PL

ROCKFORD, IL, 611075905
Browse IL providers · Browse ZIP 61107
Phone: 8153990677
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in ROCKFORD, IL

Name	Credential	NPI
DR. PAMELA A. SCHMIDT	D.D.S.	1811990526
DR. ROGER CHARLES SCHMIDT	D.D.S	1326041047
DR. JUNE UPSHAW LALLAS	DDS	1528041597
DR. PATRICK WOODS	DDS	1154304137
DAVID A. VARLAND	D.D.S.	1225098304
DR. RAZVAN CORNEL MIRZA	D.D.S.	1346202918

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.