person
Dr. Kelly James Moore, DDS
General Practice Dentistry in Rockford, Illinois
NPI 1396847216

Kelly James Moore is a General Practice Dentistry based in Rockford, IL and is specialized in General Practice. Kelly James Moore practices in Rockford, IL and has the professional credentials of DDS. The NPI Number for Kelly James Moore is 1396847216 and holds a License No. (Illinois).

The current practice location address for Kelly James Moore is 6075 Vantage Pl, Rockford, IL and can be reached out via phone at 815-399-9040 and via fax at 815-399-9336.

Location: 6075 Vantage Pl, Rockford, IL, 61107-4626
person
Provider Profile Details
NPI Number
1396847216
Provider Name
Kelly James Moore
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6075 Vantage Pl, Rockford, IL, 61107-4626
Phone Number
815-399-9040
Fax Number
815-399-9336
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6075 Vantage Pl
City
State
Zip
61107-5905
Phone Number
815-399-9040
Fax Number
815-399-9336
person
Provider Business Mailing Address Details
Address
6075 Vantage Pl
City
State
Zip
61107-5905
Phone Number
815-399-9040
Fax Number
815-399-9336
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
(Illinois)
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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