Jacob Gordon Moore, DDS

General Practice Dentistry · Waco, TX

Individual Active NPI

NPI number 1124382957

Practice location

10104 Saddle Creek Rd
Waco, TX 76708-7290
Phone
(254) 836-9595

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NPI record

NPI
1124382957
Entity type
Individual (Type 1)
Enumeration date
June 26, 2012
Last updated
June 26, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 27978 TX

About Dr. Moore

Jacob Gordon Moore, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 10104 Saddle Creek Rd, Waco, TX 76708-7290. The NPI number 1124382957 was assigned on June 26, 2012 and the record was last updated on June 26, 2012.

Dr. Moore lists a license in the registry: #27978 (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 Jacob Gordon Moore, DDS?

The NPI number is 1124382957.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (254) 836-9595.

Where is Dr. Moore located?

10104 Saddle Creek Rd, Waco, TX 76708-7290.

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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