Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366575722 Individual Practitioner Male Practitioner

Dr. Tom Harold Moore , DDS

Dentist - General Practice • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Dr. Tom Moore, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rockford, IL. Practice services are available at 6075 VANTAGE PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6075 Vantage Pl

Rockford, IL 611075905

Telephone 8153990677
Associated Practice Facility / Clinic
🏢 Kelly J. Moore D.d.s., P.c. Facility NPI 1891897799

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rockford, IL

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

Practicing in Rockford, 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

State License IL 19A13410

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

3 Associated Practitioners
Dr. Lindsay Moore , DMD

Dentist - General Practice

NPI 1487788709

Doctor of Dental Medicine

Dr. Ryan Moore , DMD

Dentist - General Practice

NPI 1588798813

Doctor of Dental Medicine

Dr. Samuel Wallden , DMD

Dentist - General Practice

NPI 1811348287

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 6075 VANTAGE PL, ROCKFORD, IL 611075905 (Tel: 8153990677)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4318 OWEN CENTER RD, ROCKFORD, IL 611016108 (Tel: 8159638368)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TOM MOORE, D.D.S.

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

Dentist (License #19A13410 in IL)

🟢
Initial NPI Registration & Enumeration March 14, 2007

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: 1366575722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4318 Owen Center Rd

Rockford, IL 611016108

Phone: 8159638368

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.