Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHRYN RAE MOORE, D.M.D.
Active Sole ProprietorDR. KATHRYN RAE MOORE, D.M.D. is a Dentist healthcare provider located in GLEN CARBON, Illinois. NPI 1750510301 is currently active in the NPPES registry. Verify at CMS.
Dentist · GLEN CARBON, IL
Registration Details
- NPI Number
- 1750510301
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 3, 2009 (17.087867790908 yrs)
- Last Updated
- Jan 29, 2026
- Licenses
-
2009016931 (MO)019027990 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
590 GLEN CROSSING RDGLEN CARBON, IL, 620341519Browse IL providers · Browse ZIP 62034
- Phone
- 6182889670
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in GLEN CARBON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. KATHERINE L MCNAMARA | DMD | 1699782466 |
| DR. ERRICK L CAMERON | D.M.D,M.A,P.C | 1861613689 |
| DR. BRIANA LEIGH OLLER | DMD | 1841462629 |
| DR. WILLIAM J HENTZE | DDS | 1437324696 |
| DR. CHAD RYAN STEWART | D.M.D. | 1730343724 |
| DR. MELANIE VADNAL | D.M.D. | 1548425432 |
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.