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

Dr. Brian Thomas Moore, DDS

Individual provider General Practice Dentistry · NPI 1508919374

Dr. Brian Thomas Moore, DDS is a General Practice Dentistry in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

30 N Michigan Ave Ste 804
Chicago, IL 60602-3402
Phone: (312) 630-2201
Fax: (312) 630-2082
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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 (IL)

Record details

NPI number1508919374
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJuly 8, 2007
Mailing address30 N Michigan Ave, Suite 804, Chicago, IL 60602-3402

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