institution
Kelly J. Moore D.d.s., P.c.
General Practice Dentistry in Rockford, Illinois
NPI 1891897799

Kelly J. Moore D.d.s., P.c. is a General Practice Dentistry based in Rockford, IL and is specialized in General Practice. Kelly J. Moore D.d.s., P.c. practices in Rockford, IL. The NPI Number for Kelly J. Moore D.d.s., P.c. is 1891897799 and holds a License No. 060-003341 (Illinois).

The current practice location address for Kelly J. Moore D.d.s., P.c. 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, 61107-5905
institution
Provider Profile Details
NPI Number
1891897799
Provider Name
Kelly J. Moore D.d.s., P.c.
Credential
Provider Entity Type
Organization
Address
6075 Vantage Pl, Rockford, IL, 61107-5905
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.
060-003341 (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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