# DR KYLE R MOORE DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346400512
- **Authorized official:** DR. KYLE RICHARD MOORE DDS (DR)
- **Authorized official phone:** (405) 665-2041

## Contact information

- **Practice address:** 101 JAMESON DRIVE, WYNNEWOOD, OK 73098
- **Practice address phone:** (405) 665-2041
- **Practice address fax:** (405) 665-2707
- **Mailing address:** PO BOX 459, 101 JAMESON DRIVE, WYNNEWOOD, OK 73098-0459
- **Mailing address phone:** (405) 665-2041
- **Mailing address fax:** (405) 665-2707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | OK | Yes |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 07/21/2022