Individual
DR. MARTIN JOSEPH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6961 BURLINGTON PIKE, FLORENCE, KY 41042
(859) 371-4422
(859) 282-5482
Mailing address
6961 BURLINGTON PIKE, FLORENCE, KY 41042
(859) 371-4422
(859) 282-5482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6108
KY
1223P0221X
Pediatric Dentistry
Primary
6108
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60061082
—
KY
Enumeration date
12/02/2011
Last updated
03/04/2020
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