Organization
LINDSAY H MOORE, DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABATHA COX (OFFICE MANAGER)
(843) 221-4746
Entity
Organization
Contact information
Practice address
301 CHURCH ST, GEORGETOWN, SC 29440-2405
(843) 221-4746
Mailing address
PO BOX 379, ANDREWS, SC 29510-0379
(843) 221-4746
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4116
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9326
—
SC
Enumeration date
11/05/2015
Last updated
11/05/2015
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