Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY JAMES MOORE, DDS
Active Sole ProprietorDR. KELLY JAMES MOORE, DDS is a General Dentistry healthcare provider located in ROCKFORD, Illinois. NPI 1396847216 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ROCKFORD, IL
Registration Details
- NPI Number
- 1396847216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2006 (19.96461579333 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
6075 VANTAGE PLROCKFORD, IL, 611075905Browse IL providers · Browse ZIP 61107
- Phone
- 8153999040
- Fax
- 8153999336
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. PAMELA A. SCHMIDT | D.D.S. | 1811990526 |
| DR. ROGER CHARLES SCHMIDT | D.D.S | 1326041047 |
| DR. JUNE UPSHAW LALLAS | DDS | 1528041597 |
| DR. PATRICK WOODS | DDS | 1154304137 |
| DAVID A. VARLAND | D.D.S. | 1225098304 |
| DR. RAZVAN CORNEL MIRZA | D.D.S. | 1346202918 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.