Kelly J. Moore D.D.S., P.C. in Rockford - General Practice
Kelly J. Moore D.D.S., P.C. - NPI 1891897799
Kelly J. Moore D.D.S., P.C. is a General Practice in Rockford, Illinois. Kelly J. Moore D.D.S., P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelly J. Moore D.D.S., P.C. is 1891897799. The last update date is 2008-10-10.
Kelly J. Moore D.D.S., P.C.'s current location address is 6075 Vantage Pl, Rockford, Illinois. You can contact this provider via phone number 8153999040 and fax number 8153999336. The mailing address for Kelly J. Moore D.D.S., P.C. is 6075 Vantage Pl, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly J. Moore D.D.S., P.C. |
|---|---|
| Address | 6075 Vantage Pl, Rockford, Illinois |
| Phone Number | 8153999040 |
| Fax Number | 8153999336 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/OW |
|---|---|
| Authorized Official Name | Moore James Kelly |
| Credentials | DDS |
| Telephone Number | 8153999040 |
NPI Number Detail
| NPI Number | 1891897799 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2008-10-10 |
Provider Mailing Address Detail
| Address | 6075 Vantage Pl |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611075905 |
| Phone Number | 8153999040 |
| Fax Number | 8153999336 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 060-003341 |
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Definition: 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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly J. Moore D.D.S., P.C. by the Centers for Medicare & Medicaid Services?
The Kelly J. Moore D.D.S., P.C. has been issued the NPI (National Provider Identifier) 1891897799 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Kelly J. Moore D.D.S., P.C.'s physical address?
The Kelly J. Moore D.D.S., P.C. is physically located at 6075 Vantage Pl, in the city of Rockford, IL, with the postal code 611075905.
What is the area of specialization for Kelly J. Moore D.D.S., P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly J. Moore D.D.S., P.C. is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Kelly J. Moore D.D.S., P.C. receive its 1891897799 assignment from the Centers for Medicare & Medicaid Services?
The Kelly J. Moore D.D.S., P.C. was assigned its 1891897799 by the Centers for Medicare & Medicaid Services on 2006-09-01.
When was the information regarding Kelly J. Moore D.D.S., P.C. most recently updated?
The details pertaining to the Kelly J. Moore D.D.S., P.C., including its address, specialty, and other relevant information, were last refreshed on 2008-10-10.
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