KELLY J. MOORE D.D.S., P.C. is a general practice dentist in Rockford, IL. The provider is 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. KELLY J. MOORE D.D.S., P.C. NPI is 1891897799. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6075 VANTAGE PL ROCKFORD, IL ZIP 61107-905 Phone: (815) 399-9040 Fax: (815) 399-9336
The provider's authorized official is Kelly James Moore . The authorized official title is Dentist/owner and has the following contact phone number (815) 399-9040.
The enumeration date for this NPI number is 9/1/2006 and was last updated on 10/10/2008.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
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