DR. LEE J MOORE


Address: 2407 W 104th St, Chicago, IL 60655-1006
Phone: 7737798900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019014938 IL Dental Providers

Other Providers LEE MOORE

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

Office Location

Street Address 2407 W 104TH ST
City CHICAGO
State IL
Zip Code 60655-1006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043615669 Dr. L.j. Moore Dds PC Dentist 2407 W 104th St, Chicago, IL 60655-1006 2014-10-24

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City CHICAGO
Zip Code 60655

Improve Information

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Dataset Information

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.

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