Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407850761 Individual Practitioner Male Practitioner

Dr. Kurtis E Wirth , DDS

Dentist • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kurtis Wirth, DDS is a registered healthcare professional specializing in Dentist in Rockford, IL. Practice services are available at 1107 S MULFORD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1107 S Mulford Rd

Rockford, IL 611084212

Telephone 8159655233
Fax 8159659311

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
72 Specialists

Practicing in Rockford, IL (4751 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 19016003

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License IL 19016003

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
19016003 (IL)
Medicaid State Provider ID
0017598 (WI)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 22, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 22, 2016

Registered at 1107 S MULFORD RD, ROCKFORD, IL 611084212 (Tel: 8159655233)

📍
Updated Business Mailing Address June 22, 2016

Registered at 1107 S MULFORD RD, ROCKFORD, IL 611084212 (Tel: 8159655233)

👤
Provider Name / Credentials Updated June 22, 2016

Recorded as KURTIS WIRTH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2016

Dentist (License #19016003 in IL)

🟢
Initial NPI Registration & Enumeration June 01, 2005

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: 1407850761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2005
Last Update: June 22, 2016
Sole Proprietor: Yes

Mailing Address

1107 S Mulford Rd

Rockford, IL 611084212

Phone: 8159655233

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.