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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.