CASEY S. MOORE DDS LLC NPI 1194281410

NPI Information

NPI: 1194281410
Provider Name: CASEY S. MOORE, DDS LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3082 S DELAWARE AVE
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 887-1397
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CASEY S. MOORE, DDS LLC is a dental clinic center in Springfield, MO. CASEY S. MOORE, DDS LLC NPI is 1194281410. The provider is registered as an organization entity type.

The provider's business location address is:

3082 S DELAWARE AVE
SPRINGFIELD, MO
ZIP 65804-418
Phone: (417) 887-1397

The provider's authorized official is Casey Moore .
The authorized official title is Owner and has the following contact phone number (417) 887-1397.

The enumeration date for this NPI number is 2/11/2019 and was last updated on 2/11/2019.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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: 4/28/2024

NPI Synchronization or Removal

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