JOHN W. MOORE DDS SC NPI 1700517349

NPI Information

  • NPI: 1700517349
  • Provider Name: JOHN W. MOORE DDS, SC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1630 LOSEY BLVD S
    LA CROSSE, WI
    ZIP 54601
  • Phone: (608) 782-7374

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NPI Details

JOHN W. MOORE DDS, SC is a general practice dentist in La Crosse, WI. 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. JOHN W. MOORE DDS, SC NPI is 1700517349. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1630 LOSEY BLVD S
LA CROSSE, WI
ZIP 54601-104
Phone: (608) 782-7374
Fax: (608) 782-4111

The provider's authorized official is Grace Esther Storlie .
The authorized official title is Manager and has the following contact phone number (608) 782-7374.

The enumeration date for this NPI number is 6/23/2022 and was last updated on 6/23/2022.

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 PracticeYes

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: 3/30/2025

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