Thomas H. Moore D.d.s. Ltd | |
6075 Vantage Pl Rockford IL 61107-5905 | |
(815) 399-0677 | |
(815) 986-1352 |
Full Name | Thomas H. Moore D.d.s. Ltd |
---|---|
Speciality | Dentist - General Practice |
Location | 6075 Vantage Pl, Rockford, Illinois |
Authorized Official Name and Position | Ryan Moore (DENTIST) |
Authorized Official Contact | 8153990677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thomas H. Moore D.d.s. Ltd 6075 Vantage Pl Rockford IL 61107-5905 Ph: (815) 399-0677 | Thomas H. Moore D.d.s. Ltd 6075 Vantage Pl Rockford IL 61107-5905 Ph: (815) 399-0677 |
NPI Number | 1558814897 |
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Provider Enumeration Date | 08/03/2016 |
Last Update Date | 08/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558814897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019.030757 (Illinois) | Primary |
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