IndividualActive
Tom Moore, D.D.S.
NPI 1366575722 · General Practice Dentistry · Rockford, IL
Provider details
- NPI number
- 1366575722
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19A13410 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6075 Vantage Pl
Rockford, IL 61107-5905
Phone: (815) 399-0677
Street-level locationGet directions
Mailing address
4318 Owen Center Rd
Rockford, IL 61101-6108
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.