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

Dr. Kelly Rae Moore, DDS

Individual provider Dentist · NPI 1790277416

Dr. Kelly Rae Moore, DDS is a Dentist in Mound, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2018
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.

See every abbreviation used in this directory →

Practice location Address checks out

5205 Shoreline Dr
Mound, MN 55364-1770
Phone: (952) 831-2800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 132 Pioneer Trl, Chaska, MN 55318-1167 — (952) 900-4354

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D14010 (MN)

Record details

NPI number1790277416
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 30, 2018
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing address5205 Shoreline Dr, Mound, MN 55364-1770

Other providers in Mound