Dr Theodore Lee Moss, DMD - Dentist in Sterling, IL

Dr Theodore Lee Moss, DMD is a Dentist - Orthodontics And Dentofacial Orthopedics based in Sterling, Illinois. Dr Theodore Lee Moss is licensed to practice in Illinois (license number 1915769) and his current practice location is 804 Freeport Rd, Sterling, Illinois. He can be reached at his office (for appointments etc.) via phone at (815) 625-3504.

NPI number for Dr Theodore Lee Moss is 1366598526 and his current mailing address is 677 Forest Hill Rd, Lake Forest, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366598526.

Contact Information

Dr Theodore Lee Moss, DMD
804 Freeport Rd,
Sterling, IL 61081-3028
(815) 625-3504
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Theodore Lee Moss
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location804 Freeport Rd, Sterling, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366598526
  • Provider Enumeration Date: 01/28/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Theodore Lee Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366598526NPI-NPPES
1003057MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 1915769 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theodore Lee Moss is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Theodore Lee Moss, DMD
677 Forest Hill Rd,
Lake Forest, IL 60045-3127

Ph: (847) 295-7581
Dr Theodore Lee Moss, DMD
804 Freeport Rd,
Sterling, IL 61081-3028

Ph: (815) 625-3504

Reviews and Comments


Dentist in Sterling, IL

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