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DR. JOHN A. MOORE D.M.D.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1972841781
Individual Registrant:DR. JOHN A. MOORE D.M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
113 N. WINTER ST. MIDWAY, KY 40347-0761 US
Tel: 859-846-4940 Fax: 859-846-4237
Tel: 859-846-4940 Fax: 859-846-4237
Contact information for business:
PO BOX 761 113 N. WINTER ST. MIDWAY, KY 40347-0761 US
Tel: 859-846-4940 Fax: 859-846-4237
Tel: 859-846-4940 Fax: 859-846-4237
Registration Information:
NPI: 1972841781
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | KY | 3696 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
