# H. G. MOORE, III & ASSOCIATES, P.A.

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

## Provider details

- **NPI number:** 1356386098
- **Authorized official:** ELLEN H. MOORE (BOOKKEEPER)
- **Authorized official phone:** (919) 731-2331

## Contact information

- **Practice address:** 2702 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
- **Practice address phone:** (919) 731-2331
- **Practice address fax:** (919) 731-2625
- **Mailing address:** PO BOX 1299, GOLDSBORO, NC 27533-1299
- **Mailing address phone:** (919) 731-2331
- **Mailing address fax:** (919) 731-2625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1450 | NC | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8996070 | — | NC |