# MOORE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1538298534
- **Authorized official:** DR. DAVID MOORE (OWNER)
- **Authorized official phone:** (702) 254-6700

## Contact information

- **Practice address:** 8409 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-7638
- **Practice address phone:** (702) 254-6700
- **Practice address fax:** (702) 254-9437
- **Mailing address:** 8409 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-7638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3216 | NV | — |
| 122300000X | Dentist | 3364 | NV | Yes |
| 122300000X | Dentist | 966 | NV | — |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 08/22/2020