Kelly James Moore in Rockford - General Practice
Kelly James Moore - NPI 1396847216
Kelly James Moore is a General Practice in Rockford, Illinois. Kelly James Moore practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelly James Moore is 1396847216. The last update date is 2007-07-08.
Kelly James Moore'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 James Moore is 6075 Vantage Pl, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly James Moore |
|---|---|
| Address | 6075 Vantage Pl, Rockford, Illinois |
| Phone Number | 8153999040 |
| Fax Number | 8153999336 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1396847216 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2007-07-08 |
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 |
|
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly James Moore by the Centers for Medicare & Medicaid Services?
The Kelly James Moore has been issued the NPI (National Provider Identifier) 1396847216, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly James Moore located?
The Kelly James Moore is located at 6075 Vantage Pl, Rockford, IL 611075905.
What is Kelly James Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly James Moore is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date was the 1396847216 assigned to Kelly James Moore?
The Kelly James Moore was issued its 1396847216 on 2006-09-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kelly James Moore, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly James Moore, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH