Individual
DR. JON C. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD,MS
Contact information
Practice address
5100 CYRUS CIR, BIRMINGHAM, AL 35242-4630
(205) 991-9299
Mailing address
5100 CYRUS CIR, BIRMINGHAM, AL 35242-4630
(205) 991-9299
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4184
AL
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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