# EDWARD P. RENTSCHLER DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rockford OMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992975551
- **Authorized official:** DR. EDWARD PAUL RENTSCHLER D.D.S. (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (815) 226-4700

## Contact information

- **Practice address:** 425 ROXBURY RD, ROCKFORD, IL 61107-5075
- **Practice address phone:** (815) 226-4700
- **Practice address fax:** (815) 391-5188
- **Mailing address:** 425 ROXBURY RD, ROCKFORD, IL 61107-5075
- **Mailing address phone:** (815) 226-4700
- **Mailing address fax:** (815) 391-5188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | IL | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 03/10/2008