Theodore L Moss Dmd Ms Pc is a Orthodontics and Dentofacial Clinic in Sterling, Illinois. It is located at 804 Freeport Rd, Sterling, IL and its contact number is 815-625-3504. The authorized person for Theodore L Moss Dmd Ms Pc is Dr. Theodore Lee Moss
who is President of the clinic and their contact number is 847-295-7581. The primary license number for Theodore L Moss Dmd Ms Pc is 1915769 (Orthodontics and Dentofacial Orthopedics) in Illinois.
Theodore L Moss Dmd Ms Pc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Theodore L Moss Dmd Ms Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Theodore L Moss Dmd Ms Pc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 804 Freeport Rd, Sterling,
Illinois, 61081-3028 |
| Phone: | 815-625-3504 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Theodore Lee Moss |
| Position: | President |
| Contact Number: | 847-295-7581 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Theodore L Moss Dmd Ms Pc clinic are as mentioned below.
| NPI Number: | 1265588420 |
| NPI Enumeration Date: | 28 Jan, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theodore L Moss Dmd Ms Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | 1915769 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1003057 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Theodore L Moss Dmd Ms Pc
677 Forest Hill Rd,
Lake Forest, Illinois |
| Zip: | 60045-3127 |
| Phone Number: | 847-295-7581 |
Patients can reach Theodore L Moss Dmd Ms Pc at
804 Freeport Rd, Sterling, Illinois or can
call to book an appointment on 815-625-3504.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.