Individual
DR. STEPHEN WILLIAM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3 LONG LEAF OFFICE PARK, MOULTRIE, GA 31768-6781
(229) 985-7290
(229) 890-6755
Mailing address
3 LONGLEAF OFFICE PARK, MOULTRIE, GA 31768-6781
(229) 985-7290
(229) 890-6755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008375
GA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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