Dr. Roger Pearson , DDS
Dentist - General Practice • Rockford, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roger Pearson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Roger Pearson, DDS was a registered Dentist - General Practice practicing in Rockford, IL. Throughout an active medical career spanning 19 years, Dr. Pearson provided care at the practice location at 1200 W STATE ST until profile deactivation on 2024-07-26.
Practice Location & Contact Primary Location
1200 W State St
Rockford, IL 611022112
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Rockford, IL
Practicing in Rockford, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Social Worker
Licensed Social Worker
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 26, 2024
NPI status registered as active in NPPES database
Registered at 1200 W STATE ST, ROCKFORD, IL 611022112 (Tel: 8154901600)
Registered at 1312 CREEKWOOD CIR, ROCKFORD, IL 611081531 (Tel: 8153980596)
Recorded as ROGER PEARSON, DDS
Dentist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1312 Creekwood Cir
Rockford, IL 611081531
Phone: 8153980596
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.