Evan Stout Moore, DDS
General Practice Dentistry · Madison, NC
Practice location
201 N Dalton StMadison, NC 27025-1903
- Phone
- (336) 548-9678
NPI record
- NPI
- 1548828916
- Entity type
- Individual (Type 1)
- Enumeration date
- May 31, 2019
- Last updated
- September 18, 2024
- Certified
- September 18, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
11410 | NC |
Mailing address
19810 W Catawba Ave Ste a1Cornelius, NC 28031-4056
About Dr. Moore
Evan Stout Moore, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 201 N Dalton St, Madison, NC 27025-1903. The NPI number 1548828916 was assigned on May 31, 2019 and the record was last updated on September 18, 2024.
Dr. Moore lists a license in the registry: #11410 (NC) 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 Evan Stout Moore, DDS?
The NPI number is 1548828916.
What is the phone number of Dr. Moore?
The phone number listed for the practice location is (336) 548-9678.
Where is Dr. Moore located?
201 N Dalton St, Madison, NC 27025-1903.
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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