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DR. L.J. MOORE DDS PC
NPI 1043615669
Dentist - General Practice in Chicago, IL

Active since October 24, 2014
2407 W 104TH ST, CHICAGO, IL 60655(773) 779-8900(773) 779-2085 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. L.j. Moore Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. L.J. MOORE DDS PC (NPI 1043615669) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since October 2014. The organization lists Lee Joseph Moore, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1043615669
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. L.J. MOORE DDS PC
Location Address2407 W 104TH STChicago, IL 60655-1006
Mailing Address2407 W 104th StChicago, IL 60655-1006 · (773) 779-8900 · Fax (773) 779-2085
Phone(773) 779-8900
Fax(773) 779-2085
Organization SubpartNo
Authorized OfficialLee Joseph MooreDentist/owner · (773) 779-8900
Enumeration DateOctober 24, 2014
✔ NPI 1043615669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019014938
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2407 W 104TH ST, Chicago, IL 60655
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NASEEM NAJI HAJJAR DMD
Dentist
2407 W 104TH ST
CHICAGO, IL 60655
Cook County (708) 980-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. L.J. Moore Dds PC's NPI number?

The NPI number for Dr. L.J. Moore Dds PC is 1043615669. It was assigned to this organization in the NPPES registry on October 24, 2014.

Where is Dr. L.J. Moore Dds PC located?

Dr. L.J. Moore Dds PC is located at 2407 W 104th St, Chicago, IL 60655. The listed phone number is (773) 779-8900.

What is Dr. L.J. Moore Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dr. L.J. Moore Dds PC was last updated on October 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.