Brent William Moore, DDS
General Practice Dentistry · Fairfield, TX
Practice location
764 W Commerce StFairfield, TX 75840-1428
- Phone
- (903) 389-4151
NPI record
- NPI
- 1104917178
- Entity type
- Individual (Type 1)
- Enumeration date
- September 27, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
16589 | TX |
About Dr. Moore
Brent 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 764 W Commerce St, Fairfield, TX 75840-1428. The NPI number 1104917178 was assigned on September 27, 2006 and the record was last updated on July 8, 2007.
Dr. Moore lists a license in the registry: #16589 (TX) 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 Brent William Moore, DDS?
The NPI number is 1104917178.
What is the phone number of Dr. Moore?
The phone number listed for the practice location is (903) 389-4151.
Where is Dr. Moore located?
764 W Commerce St, Fairfield, TX 75840-1428.
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.
Other General Practice Dentistry providers in Fairfield
- John Daniel Morgan, DDS118 W College St