# KYLE R MOORE DDS

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

## Provider details

- **NPI number:** 1376643635
- **Authorized official:** KYLE R MOORE DDS (OWNER)
- **Authorized official phone:** (405) 848-4447

## Contact information

- **Practice address:** 2751 NW EXPRESSWAY, SUITE 4, OKLAHOMA CITY, OK 73112
- **Practice address phone:** (405) 848-4447
- **Practice address fax:** (405) 848-4472
- **Mailing address:** 2751 NW EXPRESSWAY, SUITE 4, OKLAHOMA CITY, OK 73112
- **Mailing address phone:** (405) 848-4447
- **Mailing address fax:** (405) 848-4472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5286 | OK | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020