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

Dr. Grace Elizabeth Moore, DDS

Individual provider General Practice Dentistry · NPI 1235747171

Dr. Grace Elizabeth Moore, DDS is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
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

1610 W Fullerton Ave
Chicago, IL 60614-2659
Phone: (630) 423-9646
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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 032763 (IL)

Record details

NPI number1235747171
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESJuly 16, 2020
Certification dateJuly 16, 2020
Mailing address361 Millridge Dr, Indianapolis, IN 46290-1117

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