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ALEX MOORE DMD PC NPI 1730676990


NPI Information

NPI: 1730676990
Provider Name: ALEX MOORE, DMD PC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
6050 BRYNWOOD DR STE 205
ROCKFORD, IL
ZIP 61114
Phone: (815) 201-5955
Get Directions

ALEX MOORE, DMD PC is an endodontics dentist in Rockford, IL. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. ALEX MOORE, DMD PC NPI is 1730676990. The provider is registered as an organization entity type.

The provider's business location address is:

6050 BRYNWOOD DR STE 205
ROCKFORD, IL
ZIP 61114
Phone: (815) 201-5955
Fax: (815) 201-5956

The provider's authorized official is Alex Moore .
The authorized official title is Dentist and has the following contact phone number (815) 621-6060.

The enumeration date for this NPI number is 4/13/2018 and was last updated on 4/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalNo
21223E0200XDentistEndodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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