DR. Kelly James Moore, DDS is a general practice dentist in Rockford, IL. The provider is 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. DR. Kelly James Moore, DDS NPI is 1396847216. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6075 VANTAGE PL
ROCKFORD, IL
ZIP 61107-905
Phone: (815) 399-9040
Fax: (815) 399-9336
The enumeration date for this NPI number is 9/1/2006 and was last updated on 7/8/2007.