Richard Wallace Moore, DDS

Dentist · Tigard, OR

Individual Active NPI

NPI number 1487701942

Practice location

10220 SW Greenburg Road
Suite 150
Tigard, OR 97223-5529
Phone
(503) 255-1200
Fax
(503) 408-6856

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NPI record

NPI
1487701942
Entity type
Individual (Type 1)
Enumeration date
January 5, 2007
Last updated
December 19, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D5689 OR

About Dr. Moore

Richard Wallace Moore, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 10220 SW Greenburg Road, Suite 150, Tigard, OR 97223-5529. The NPI number 1487701942 was assigned on January 5, 2007 and the record was last updated on December 19, 2011.

Dr. Moore lists a license in the registry: #D5689 (OR) 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 Richard Wallace Moore, DDS?

The NPI number is 1487701942.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (503) 255-1200.

Where is Dr. Moore located?

10220 SW Greenburg Road, Suite 150, Tigard, OR 97223-5529.

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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