Organization · Type 2 NPI

Kelly J. Moore D.d.s., P.c.

General Practice Dentistry · Rockford, IL

NPI number 1891897799 Active

Practice location

6075 Vantage Pl
Rockford, IL 61107-5905

Call (815) 399-9040 Map

Fax (815) 399-9336

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X060-003341 (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.

7 other providers at this address

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About NPI 1891897799

Kelly J. Moore D.d.s., P.c.'s National Provider Identifier is 1891897799, issued on Sep 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rockford, IL. The record was last updated on Oct 10, 2008.