# MEGHAN N MOORE DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Lyon Dental Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760376990
- **Authorized official:** DR. MEGHAN MOORE DDS (DENTIST/OWNER)
- **Authorized official phone:** (248) 872-6619

## Contact information

- **Practice address:** 21800 PONTIAC TRL STE 100, SOUTH LYON, MI 48178-7400
- **Practice address phone:** (248) 437-8300
- **Mailing address:** 21800 PONTIAC TRL STE 100, SOUTH LYON, MI 48178-7400
- **Mailing address phone:** (248) 437-8300

## Taxonomy

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

## Other

- **Enumeration date:** 06/03/2025
- **Last updated:** 06/03/2025