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Contact Information

ALEX MOORE, DMD PC
6050 BRYNWOOD DR STE 205
ROCKFORD, IL61114
 Phone: 815-201-5955
 Fax: 815-201-5956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for ALEX MOORE DMD PC · (Female)

NPI # 1730676990
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2018
Last updated 04/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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