Kelly J. Moore DDS, PC
Kelly J. Moore DDS, PC is a General Practice Dentistry in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6075 Vantage PlRockford, IL 61107-5905
Phone: (815) 399-9040
Fax: (815) 399-9336
Show map & directions
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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 060-003341 (IL) |
|---|
Record details
| NPI number | 1891897799 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Moore — Dentist/Owner · (815) 399-9040 |
| NPI enumerated | September 1, 2006 |
| Last updated in NPPES | October 10, 2008 |
| Mailing address | 6075 Vantage Pl, Rockford, IL 61107-5905 |
Other providers in Rockford
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Dr. Daniel William Johnson, DDS
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-
Dr. David W Johnson, DDS
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Dr. Anthony E Johnston, DDS
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Julia R. Pesavento, DMD
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Dr. Dean J. Kokinias, DDS
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Donald J Kyle, DDS
1110 S Mulford Rd, Rockford, IL 61108-4213 · (815) 398-3879
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Dr. June Upshaw Lallas, DDS
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Dr. George Lazopoulos, DDS
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