Kellie Lynn Moore - Chicago, IL

Kellie Lynn Moore

Oral and Maxillofacial Surgery (Dentist) in Chicago, Illinois

NPI 1942705140

Kellie Lynn Moore is a Oral and Maxillofacial Surgery (Dentist) based in Chicago, IL and is specialized in Oral and Maxillofacial Surgery. Kellie Lynn Moore practices in Chicago, IL. The NPI Number for Kellie Lynn Moore is 1942705140 and holds a License No. 019031614 (Illinois).

The current practice location address for Kellie Lynn Moore is 251 E Huron St, Chicago, IL and can be reached out via phone at 312-926-2000.

Location: 251 E Huron St, Chicago, IL, 60611-3055

NPI Number

1942705140

Provider Name

Kellie Lynn Moore

Credential

Provider Entity Type

Individual

Gender

Female

Address

251 E Huron St, Chicago, IL, 60611-3055

Phone Number

312-926-2000

Fax Number

Provider Enumeration Date

03/28/2018

Last Update Date

03/10/2024

Address

251 E Huron St

City

Chicago

State

Illinois

Zip

60611

Phone Number

312-926-2000

Fax Number

Address

251 E Huron St

City

Chicago

State

Illinois

Zip

60611

Phone Number

312-926-2000

Fax Number

Type

Dental Providers

Classification

Dentist

Speciality

General Practice

Taxonomy

1223G0001X

License No.

019031614 (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.

Type

Dental Providers

Classification

Dentist

Speciality

Oral and Maxillofacial Surgery

Taxonomy

1223S0112X

License No.

()

Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

019031614 (Illinois)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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