Moore, Alex
Moore, Alex is an individual health care provider with primary practice located at 6050 Brynwood Dr Ste 205 , Rockford IL 61114-6579. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Moore, Alex can be contacted via phone (816) 201-5955.Contact Information
Primary practice address
6050 Brynwood Dr Ste 205
Rockford IL 61114-6579
Phone: (816) 201-5955
Fax: (815) 201-5956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1001449-15 | Wisconsin |
Profile Details
| NPI number | 1124557228 |
|---|---|
| LBN Legal business name | Moore, Alex |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2017 |
| Last updated | Jun 26th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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