Individual provider · Type 1 NPI

Tom Harold Moore, DDS

General Practice Dentistry · Rockford, IL

NPI number 1366575722 Active

Practice location

6075 Vantage Pl
Rockford, IL 61107-5905

Call (815) 399-0677 Map

Mailing address

4318 Owen Center Rd
Rockford, IL 61101-6108

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X19A13410 (IL)

General Practice Dentistry: 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.

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About NPI 1366575722

Tom Harold Moore, DDS's National Provider Identifier is 1366575722, issued on Mar 14, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.