DR. LEE J MOORE (NPI# 1255320842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255320842 |
Entity Type | Individual |
Full Name | DR. LEE J MOORE |
Credential | D.D.S. |
Practice Address |
2407 W 104th St Chicago IL 60655-1006 |
Practice Telephone | 7737798900 |
Practice Fax Number | 7737792085 |
Mailing Telephone | 7737798900 |
Mailing Fax Number | 7737792085 |
Enumeration Date | 2005-10-17 |
Last Update Date | 2014-10-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
019014938 | IL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326432287 | Lee Goddard Moore | Registered Nurse | 1310 Bertha Ave Nw, Bremerton, WA 98312-2607 | 2015-03-27 |
1942563051 | Lee Ann Moore | Pharmacist | 815 S College Rd, Wilmington, NC 28403-4409 | 2012-06-22 |
1306920913 | Lee Richard Moore Jr. | Optometrist | 311 Prospect Ave, Charles Town, WV 25414-1137 | 2006-10-24 |
1093709842 | Lee Eugene Moore | Dentist | 106 S Cummings Ln, Washington, IL 61571-3442 | 2005-09-08 |
1407398308 | Lee Moore | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2016-11-08 |
1699156950 | Lee Ellis Moore | Internal Medicine | 501 Baptist Dr Ste 220, Madison, MS 39110-2031 | 2015-06-12 |
1962728600 | Lee Katherine Moore | Emergency Medicine | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2010-04-19 |
1861648248 | Lee David Moore | Obstetrics & Gynecology | 2900 E 29th St, Suite 300, Bryan, TX 77802-2622 | 2008-08-17 |
1508859166 | Lee S Moore | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
Street Address |
2407 W 104TH ST |
City | CHICAGO |
State | IL |
Zip Code | 60655-1006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043615669 | Dr. L.j. Moore Dds PC | Dentist | 2407 W 104th St, Chicago, IL 60655-1006 | 2014-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629632401 | Hillary Woodward Carroll | Nurse Practitioner | 3258 W 111th Chicago, Il, Chicago, IL 60655 | 2019-04-26 |
1679029995 | Meghan Robbins | Pharmacy Technician | 10428 S. Springfield, Chicago, IL 60655 | 2016-08-28 |
1356700728 | Molly Samansky | Speech-Language Pathologist | 2549 W 106thh Pl, Chicago, IL 60655 | 2016-02-15 |
1134533615 | Axis Physical Medicine | Physical Therapist | 11005 S Kedzie Ave, Chicago, IL 60655 | 2014-06-12 |
1821439738 | Mercy Circle | Skilled Nursing Facility | 3659 W. 99th Street, Chicago, IL 60655 | 2013-07-09 |
1962772921 | E.m. Branch and Associates, Inc | Social Worker | 3139 W. 111th Street, Chicago, IL 60655 | 2012-01-09 |
1922377951 | Patricia Murphy | Counselor | 10435 Kedzie Ave, Chicago, IL 60655 | 2011-12-20 |
1346518891 | Kelly Diana Koch | Occupational Therapist | 11143 S. Troy, Chicago, IL 60655 | 2011-12-12 |
1265678544 | Lawrence Michael Furlan | Dentist | 10900 S Kedzie, Chicago, IL 60655 | 2008-12-17 |
1710122361 | Athletico, Ltd | Physical Therapist | 3644 W. 111th Street, Chicago, IL 60655 | 2008-12-11 |
Find all providers in zip 60655 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
Find all providers in CHICAGO |
Please comment or provide details below to improve the information on DR. LEE J MOORE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.