Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811089881 Individual Practitioner Male Practitioner

Dr. Michael Joseph Moore , DDS

Dentist - General Practice • Lisle, IL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Moore, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lisle, IL. Practice services are available at 4745 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4745 Main St
Suite 201

Lisle, IL 60532

Telephone 6309685078
Fax 6309683621
Associated Practice Facility / Clinic
🏢 Michael J Gonda Dds Ltd Facility NPI 1376658674

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lisle, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Lisle, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1417124686
Dr. Omer Khan , DMD

Dentist - General Practice

NPI 1952146953

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4745 MAIN ST, SUITE 201, LISLE, IL 60532 (Tel: 6309685078)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6668 CHICK EVANS LANE, WOODRIDGE, IL 60517 (Tel: 6304167743)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL MOORE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811089881
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 26, 2026
Sole Proprietor: No

Mailing Address

6668 Chick Evans Lane

Woodridge, IL 60517

Phone: 6304167743

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.