Gregory Carl Moo, DDS

Dentist · Deland, FL

Individual Active NPI

NPI number 1689885121

Practice location

1601 Timber Hills Dr
Deland, FL 32724-7978
Phone
(386) 334-4074
Fax
(386) 736-0111

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NPI record

NPI
1689885121
Entity type
Individual (Type 1)
Enumeration date
May 25, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN9681 FL
Dentist 122300000X 12007496 IN

About Dr. Moo

Gregory Carl Moo, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1601 Timber Hills Dr, Deland, FL 32724-7978. The NPI number 1689885121 was assigned on May 25, 2007 and the record was last updated on July 8, 2007.

Dr. Moo lists 2 licenses in the registry: #DN9681 (FL) for Dentist; #12007496 (IN) 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 Gregory Carl Moo, DDS?

The NPI number is 1689885121.

What is the phone number of Dr. Moo?

The phone number listed for the practice location is (386) 334-4074.

Where is Dr. Moo located?

1601 Timber Hills Dr, Deland, FL 32724-7978.

What is the taxonomy code for Dr. Moo?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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