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KELLY J. MOORE D.D.S., P.C.
NPI 1891897799
Dentist - General Practice in Rockford, IL

Active since September 01, 2006
6075 VANTAGE PL, ROCKFORD, IL 61107(815) 399-9040(815) 399-9336 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly J. Moore D.d.s., P.c. NPPES

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

KELLY J. MOORE D.D.S., P.C. (NPI 1891897799) is a healthcare organization registered as a general practice in Rockford, Illinois and active in the NPI registry since September 2006. The organization lists Kelly James Moore, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1891897799
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKELLY J. MOORE D.D.S., P.C.
Location Address6075 VANTAGE PLRockford, IL 61107-5905
Mailing Address6075 Vantage PlRockford, IL 61107-5905 · (815) 399-9040 · Fax (815) 399-9336
Phone(815) 399-9040
Fax(815) 399-9336
Organization SubpartNo
Authorized OfficialKelly James MooreDentist/owner · (815) 399-9040
Enumeration DateSeptember 1, 2006
Last NPPES UpdateOctober 10, 2008
✔ NPI 1891897799 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 · 060-003341
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.
6075 VANTAGE PL, Rockford, IL 61107
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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 6

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

DR. KELLY JAMES MOORE DDS
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-9040
DR. LINDSAY DANIELLE MOORE DMD
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-0677
THOMAS H. MOORE D.D.S. LTD
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-0677
DR. RYAN THOMAS MOORE DMD
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-0677
THOMAS H. MOORE DDS LTD
Clinic/Center (Dental)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-0677
DR. SAMUEL MOORE WALLDEN D.M.D.
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-0677

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 Kelly J. Moore D.D.S., P.C.'s NPI number?

The NPI number for Kelly J. Moore D.D.S., P.C. is 1891897799. It was assigned to this organization in the NPPES registry on September 1, 2006.

Where is Kelly J. Moore D.D.S., P.C. located?

Kelly J. Moore D.D.S., P.C. is located at 6075 Vantage Pl, Rockford, IL 61107. The listed phone number is (815) 399-9040.

What is Kelly J. Moore D.D.S., P.C.'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 Kelly J. Moore D.D.S., P.C. was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.