Individual provider · Type 1 NPI
Theodore Lee Moss, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Sterling, IL
Practice location
804 Freeport Rd
Sterling, IL 61081-3028
Mailing address
677 Forest Hill Rd
Lake Forest, IL 60045-3127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 1915769 (IL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
About NPI 1366598526
Theodore Lee Moss, DMD's National Provider Identifier is 1366598526, issued on Jan 28, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Sterling, IL. The record was last updated on Jul 8, 2007.