Individual
DR. JOHN PATRICK MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
865 OILFIELD AVE, SHELBY, MT 59474-2702
(406) 434-5146
(406) 434-5147
Mailing address
865 OILFIELD AVE, SHELBY, MT 59474-2702
(406) 434-5146
(406) 434-5147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1494
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139113
—
MT
Enumeration date
12/18/2006
Last updated
07/09/2007
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