Organization
NICHOLAS J. MOORE DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS JAY MOORE D.D.S. (OWNER DENTIST)
(816) 699-0732
Entity
Organization
Contact information
Practice address
1802 W 32ND ST STE HIJ, JOPLIN, MO 64804-1606
(816) 699-0732
Mailing address
1802 W 32ND ST STE HIJ, JOPLIN, MO 64804-1606
(816) 699-0732
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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