Charles Walter Moore, D.D.S.

Dentist · Saint Charles, MO

Individual Active NPI

NPI number 1376656819

Practice location

1319 Caulks Hill Rd
Saint Charles, MO 63304-6863
Phone
(636) 441-3430

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NPI record

NPI
1376656819
Entity type
Individual (Type 1)
Enumeration date
August 17, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 013916 MO

Mailing address

601 Hidden Lake Dr
Saint Peters, MO 63376-3307
Phone
(636) 928-3302

About Dr. Moore

Charles Walter Moore, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1319 Caulks Hill Rd, Saint Charles, MO 63304-6863. The NPI number 1376656819 was assigned on August 17, 2006 and the record was last updated on July 8, 2007.

Dr. Moore lists a license in the registry: #013916 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Walter Moore, D.D.S.?

The NPI number is 1376656819.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (636) 441-3430.

Where is Dr. Moore located?

1319 Caulks Hill Rd, Saint Charles, MO 63304-6863.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 122300000X – Dentist.

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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