DALE MOORE NPI 1558509281

NPI Information

NPI: 1558509281
Provider Name: DALE MOORE
Classification: Denturist - 122400000X
Entity Type: Individual
Address:
1514 JEFFERSON AVE
LA GRANDE, OR
ZIP 97850
Phone: (541) 963-5803
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Dale Moore is a denturist in La Grande, OR. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. Dale Moore NPI is 1558509281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1514 JEFFERSON AVE
LA GRANDE, OR
ZIP 97850-646
Phone: (541) 963-5803

The enumeration date for this NPI number is 2/3/2009 and was last updated on 10/8/2010.

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	122400000X	Denturist		DT-DO-793852	OREGON	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: 5/5/2024

NPI Synchronization or Removal

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