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Organization
GREG MOORE, DDS
Active
Organization
GREG MOORE, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN GREG MOORE DDS (OWNER)
(423) 283-0511
Entity
Organization
Contact information
Practice address
4723 N ROAN ST, JOHNSON CITY, TN 37615-3976
(423) 283-0511
(423) 283-0899
Mailing address
4723 N ROAN ST, JOHNSON CITY, TN 37615-3976
(423) 283-0511
(423) 283-0899
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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