Keith Erickson Moore, DMD

General Practice Dentistry · Ft Lauderdale, FL

Individual Active NPI

NPI number 1336599141

Practice location

901 S Federal Hwy
Ste 301
Ft Lauderdale, FL 33316-1266
Phone
(954) 768-1981

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NPI record

NPI
1336599141
Entity type
Individual (Type 1)
Enumeration date
June 13, 2016
Last updated
June 13, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN11491 FL

About Dr. Moore

Keith Erickson Moore, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 901 S Federal Hwy, Ste 301, Ft Lauderdale, FL 33316-1266. The NPI number 1336599141 was assigned on June 13, 2016 and the record was last updated on June 13, 2016.

Dr. Moore lists a license in the registry: #DN11491 (FL) 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 Keith Erickson Moore, DMD?

The NPI number is 1336599141.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (954) 768-1981.

Where is Dr. Moore located?

901 S Federal Hwy, Ste 301, Ft Lauderdale, FL 33316-1266.

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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