Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr L.j. Moore DDS PC

Organization General Practice Dentistry · NPI 1043615669

Dr L.j. Moore DDS PC is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2407 W 104th St
Chicago, IL 60655-1006
Phone: (773) 779-8900
Fax: (773) 779-2085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019014938 (IL)

Record details

NPI number1043615669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Moore — Dentist/Owner · (773) 779-8900
NPI enumeratedOctober 24, 2014
Last updated in NPPESOctober 24, 2014
Mailing address2407 W 104th St, Chicago, IL 60655-1006

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