Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr L.j. Moore DDS PC

Organization General Practice Dentistry · NPI 1043615669

Dr L.j. Moore DDS PC provides 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 Not confirmed with CMS for 12 years — call before visiting
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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