Brent Allen Moore, DDS

General Practice Dentistry · Fishers, IN

Individual Active NPI

NPI number 1720158470

Practice location

11630 Olio Rd
Suite #100
Fishers, IN 46037-7677
Phone
(317) 348-1354
Fax
(866) 511-4151

Open in Google Maps

NPI record

NPI
1720158470
Entity type
Individual (Type 1)
Enumeration date
November 9, 2006
Last updated
March 25, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12010751A IN

Mailing address

14575 Lansing Place
Fishers, IN 46038
Phone
(317) 679-8207
Fax
(866) 511-4151

About Dr. Moore

Brent Allen Moore, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 11630 Olio Rd, Suite #100, Fishers, IN 46037-7677. The NPI number 1720158470 was assigned on November 9, 2006 and the record was last updated on March 25, 2008.

Dr. Moore lists a license in the registry: #12010751A (IN) 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 Brent Allen Moore, DDS?

The NPI number is 1720158470.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (317) 348-1354.

Where is Dr. Moore located?

11630 Olio Rd, Suite #100, Fishers, IN 46037-7677.

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.

Other General Practice Dentistry providers in Fishers

All General Practice Dentistry providers in Fishers, IN →