Raven Shanice Moore, DDS

Dentist · Smyrna, TN

Individual Active NPI

NPI number 1467140574

Practice location

574 W Sam Ridley Pkwy
Smyrna, TN 37167-5621
Phone
(615) 488-1151

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NPI record

NPI
1467140574
Entity type
Individual (Type 1)
Enumeration date
April 26, 2023
Last updated
April 26, 2023
Certified
April 26, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 12134 TN

Mailing address

2521 Oak Forest Dr
Antioch, TN 37013-1840

About Dr. Moore

Raven Shanice Moore, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 574 W Sam Ridley Pkwy, Smyrna, TN 37167-5621. The NPI number 1467140574 was assigned on April 26, 2023 and the record was last updated on April 26, 2023.

Dr. Moore lists a license in the registry: #12134 (TN) 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 Raven Shanice Moore, DDS?

The NPI number is 1467140574.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (615) 488-1151.

Where is Dr. Moore located?

574 W Sam Ridley Pkwy, Smyrna, TN 37167-5621.

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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