DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY J. MOORE D.D.S., P.C.

Active Organization

KELLY J. MOORE D.D.S., P.C. is a General Dentistry organization located in ROCKFORD, Illinois. NPI 1891897799 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ROCKFORD, IL

Registration Details

NPI Number
1891897799
Provider Type
Organization
NPI Issued
Sep 1, 2006 (19.767832747057 yrs)
Last Updated
Oct 10, 2008
License
060-003341 (IL)

Practice Information

Address
6075 VANTAGE PL
ROCKFORD, IL, 611075905
Browse IL providers · Browse ZIP 61107
Phone
8153999040
Fax
8153999336
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in ROCKFORD, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.