Organization
MILESTONE DENTAL CLINIC
Active
Parent organization
MILESTONE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILESTONE, INC.
Authorized official
MR. WILLIAM C. GRAHN (PRESIDENT & CEO)
(815) 639-2817
Entity
Organization
Contact information
Practice address
275 NORTH PHELPS AVENUE, ROCKFORD, IL 61108-2434
(815) 484-8678
(815) 484-8680
Mailing address
275 N PHELPS AVE, ROCKFORD, IL 61108-2434
(815) 484-8678
(815) 484-8680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102303
—
IL
Enumeration date
03/18/2008
Last updated
09/04/2025
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