42D2210220 CLIA NUMBER - LINDSAY H MOORE DMD PA

Laboratory Demographics

CLIA Number: 42D2210220

Facility Name: LINDSAY H MOORE DMD PA

Facility Address:
3535 COUNTYLINE RD
ANDREWS, SC
ZIP 29510
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Facility Phone Number: 843 221-4746

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1952442667

Taxonomy: 1223G0001X - Dentist
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.

CLIA Record

Field Name	Field Value
CLIA Number	42D2210220
LAB Type	Practitioner Other
Facility Name	LINDSAY H MOORE DMD PA
Street	3535 COUNTYLINE RD
City	ANDREWS
State	SC
ZIP	29510
Phone	843 221-4746
CertificateType	4
CertificateEffectiveDate	1/20/2023
CertificateExpirationDate	1/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024