Organization
FOREST CITY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RANDOL STOVALL D.D.S. (PRESIDENT)
(815) 397-7454
Entity
Organization
Contact information
Practice address
1855 DAIMLER RD, ROCKFORD, IL 61112-1063
(815) 397-7454
(815) 397-7555
Mailing address
1855 DAIMLER RD, ROCKFORD, IL 61112-1063
(815) 397-7454
(815) 397-7555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026159
IL
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/11/2016
Last updated
12/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us