Individual
FRANK JEFFERSON POORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
672 CARPENTER AVE, MOORESVILLE, NC 28115-2538
(704) 633-1354
(704) 662-3213
Mailing address
PO BOX 669, MOORESVILLE, NC 28115-0669
(704) 663-1354
(704) 662-3213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3593
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058688359
ADA
—
Enumeration date
11/21/2006
Last updated
07/08/2007
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