Individual
WHITNEY MONET MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3232 E FALL CREEK PARKWAY NORTH DR, INDIANAPOLIS, IN 46205-3858
(317) 513-8669
Mailing address
3232 E FALL CREEK PARKWAY NORTH DR, INDIANAPOLIS, IN 46205-3858
(317) 513-8669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12010224A
IN
1223G0001X
General Practice Dentistry
Primary
30-022597
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200275740
—
IN
Enumeration date
01/23/2006
Last updated
11/18/2020
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