Forest City Dental PC
NPI 1457801755ActiveOrganization· Dentist· Rockford, IL
Dentist in Rockford, Illinois, registered in NPPES in October 2016. The authorized official on file is James Randol Stovall, D.D.S., President.
Overview
| NPI | 1457801755 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2016 |
| Last updated in NPPES | Dec 20, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 019026159 | IL |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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