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

Dr. Ryan Thomas Moore, DMD

Individual provider General Practice Dentistry · NPI 1588798813

Dr. Ryan Thomas Moore, DMD is a General Practice Dentistry in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

6075 Vantage Pl
Rockford, IL 61107-5905
Phone: (815) 399-0677
Fax: (815) 399-9336
Show map & directions

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 number1588798813
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address6075 Vantage Pl, Rockford, IL 61107-5905

Other providers in Rockford