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Search › Illinois › 1223G0001X

Rex Moore, DDS

NPI 1669468344 · on the registry since 2005

Practice

Address
2103 E Washington St
Ste 3e
Bloomington, IL 61701
Phone
(309) 662-3123
Fax
(309) 661-0798
Organisation at this address
Emil M. Verban
Tiffany Mcbride
Jsc Incorporated
Select Care Pllc
Keelan Dennis Mft
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois