| Theodore L Moss Dmd Ms Pc | |
|
804 Freeport Rd Sterling IL 61081-3028 | |
| (815) 625-3504 | |
| Not Available |
| Full Name | Theodore L Moss Dmd Ms Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 804 Freeport Rd, Sterling, Illinois |
| Authorized Official Name and Position | Theodore Lee Moss (PRESIDENT) |
| Authorized Official Contact | 8472957581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore L Moss Dmd Ms Pc 677 Forest Hill Rd Lake Forest IL 60045-3127 Ph: (847) 295-7581 | Theodore L Moss Dmd Ms Pc 804 Freeport Rd Sterling IL 61081-3028 Ph: (815) 625-3504 |
| NPI Number | 1265588420 |
|---|---|
| Provider Enumeration Date | 01/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265588420 | NPI | - | NPPES |
| 1003057 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1915769 (Illinois) | Primary |
True Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 2nd Avenue, Sterling, IL 61081 Phone: 815-625-9000 Fax: 815-625-4304 | |
Edward L Rick Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 First Ave, Sterling, IL 61081 Phone: 815-625-2112 Fax: 815-625-2143 | |
True Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 2nd Ave, Sterling, IL 61081 Phone: 815-625-9000 | |
James S. Ferris, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 N Locust St Ste. B, Sterling, IL 61081 Phone: 815-625-6842 Fax: 815-625-6887 | |
Aaron M. Anderson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1835 1st Ave, Sterling, IL 61081 Phone: 815-626-9600 Fax: 815-535-9117 |