Individual
DR. JAMES CRAIG MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
111 INDUSTRIAL PARK RD, JOHNSTOWN, PA 15904-1940
(814) 266-3151
(814) 262-9702
Mailing address
203 DELTA DR, JOHNSTOWN, PA 15904-1878
(814) 266-7192
(814) 262-9702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019611L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187812
BCBS
PA
01
—
19611
DELTA
PA
Enumeration date
04/10/2006
Last updated
07/08/2007
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