Kellie Lynn Moore is a Chicago, Illinois based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kellie Lynn Moore is
019031614 for Oral and Maxillofacial Surgery in Illinois. Her current practice location is
251 E Huron St, Chicago. Patients can reach her at
312-926-2000.
Kellie Lynn Moore is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kellie Lynn Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kellie Lynn Moore |
| Specialization: | Dentist |
| Gender: | Female |
| Accepts Medicare Assignment: | No |
| Practice Address: | 251 E Huron St, Chicago,
Illinois, 60611 |
| Phone: | 312-926-2000 |
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 are as mentioned below.
| NPI Number: | 1942705140 |
| NPI Enumeration Date: | 28 Mar, 2018 |
| NPI Last Update On: | 22 Jun, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellie Lynn Moore are as mentioned below.
| License Number | Specialization | State | Status | |
| 019031614 | Oral and Maxillofacial Surgery | Illinois | Primary | |
| 019031614 | General Practice Dentistry | Illinois | Secondary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 251 E Huron St,
Chicago, Illinois |
| Zip: | 60611-3055 |
| Phone Number: | 312-926-2000 |
Patients can reach Kellie Lynn Moore at
251 E Huron St, Chicago, Illinois or can
call to book an appointment on 312-926-2000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.