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Active NPI 1346202918 Individual Practitioner Male Practitioner

Dr. Razvan Cornel Mirza , DDS

Dentist - General Practice • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Dr. Razvan Mirza, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rockford, IL. Practice services are available at 2715 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2715 N Main St

Rockford, IL 611033111

Telephone 8159648713
Fax 8159643719
Associated Practice Facility / Clinic
🏢 Rockford Family Dental P.c. Facility NPI 1386982940

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
97 Specialists

Practicing in Rockford, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019026551

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9178466 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Catherine Baer-Mirza , DDS

Dentist - General Practice

NPI 1134181779

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2014

Registered at 2715 N MAIN ST, ROCKFORD, IL 611033111 (Tel: 8159648713)

📍
Updated Business Mailing Address May 14, 2014

Registered at 2715 N MAIN ST, ROCKFORD, IL 611033111 (Tel: 8159648713)

👤
Provider Name / Credentials Updated May 14, 2014

Recorded as RAZVAN MIRZA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2014

Dentist (License #019026551 in IL)

🟢
Initial NPI Registration & Enumeration April 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346202918
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2006
Last Update: May 14, 2014
Sole Proprietor: No

Mailing Address

2715 N Main St

Rockford, IL 611033111

Phone: 8159648713

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.