Stephen William Moore, DDS

General Practice Dentistry · Moultrie, GA

Individual Active NPI

NPI number 1053335216

Practice location

3 Long Leaf Office Park
Moultrie, GA 31768-6781
Phone
(229) 985-7290
Fax
(229) 890-6755

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NPI record

NPI
1053335216
Entity type
Individual (Type 1)
Enumeration date
July 27, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 008375 GA

Mailing address

3 Longleaf Office Park
Moultrie, GA 31768-6781
Phone
(229) 985-7290
Fax
(229) 890-6755

About Dr. Moore

Stephen William Moore, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3 Long Leaf Office Park, Moultrie, GA 31768-6781. The NPI number 1053335216 was assigned on July 27, 2006 and the record was last updated on July 8, 2007.

Dr. Moore lists a license in the registry: #008375 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen William Moore, DDS?

The NPI number is 1053335216.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (229) 985-7290.

Where is Dr. Moore located?

3 Long Leaf Office Park, Moultrie, GA 31768-6781.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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