# DRS. BARTS & MOORE PA

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

## Provider details

- **NPI number:** 1821008178
- **Authorized official:** DR. KENT E MOORE DDS, MD (ORAL & MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (704) 358-8898

## Contact information

- **Practice address:** 1718 E 4TH ST, SUITE 804, CHARLOTTE, NC 28204-3261
- **Practice address phone:** (704) 358-8898
- **Practice address fax:** (704) 358-8889
- **Mailing address:** 1718 E 4TH ST, SUITE 804, CHARLOTTE, NC 28204-3261
- **Mailing address phone:** (704) 358-8898
- **Mailing address fax:** (704) 358-8889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5366 | NC | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 07/31/2008