Daisy Kit Moore, DDS PA

General Practice Dentistry · Southlake, TX

Individual Active NPI

NPI number 1437144292

Practice location

1101 E State Highway 114
Suite 104
Southlake, TX 76092-5233
Phone
(817) 410-7373
Fax
(817) 416-9383

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NPI record

NPI
1437144292
Entity type
Individual (Type 1)
Enumeration date
September 16, 2005
Last updated
April 9, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 17839 TX

About Daisy Moore

Daisy Kit Moore, DDS PA is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1101 E State Highway 114, Suite 104, Southlake, TX 76092-5233. The NPI number 1437144292 was assigned on September 16, 2005 and the record was last updated on April 9, 2014.

Daisy Moore lists a license in the registry: #17839 (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 Daisy Kit Moore, DDS PA?

The NPI number is 1437144292.

What is the phone number of Daisy Moore?

The phone number listed for the practice location is (817) 410-7373.

Where is Daisy Moore located?

1101 E State Highway 114, Suite 104, Southlake, TX 76092-5233.

What is the taxonomy code for Daisy 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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