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VICTORIA NAN MOORE DMD NPI 1811104300


NPI Information

NPI: 1811104300
Provider Name: VICTORIA NAN MOORE, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
21352 SW MAKAH CT
TUALATIN, OR
ZIP 97062
Phone: (503) 691-8376
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Victoria Nan Moore, DMD is a general practice dentist in Tualatin, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Victoria Nan Moore, DMD NPI is 1811104300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21352 SW MAKAH CT
TUALATIN, OR
ZIP 97062-309
Phone: (503) 691-8376

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD6430OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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