Individual
SANDY MEADE MOORE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1908 EXETER, GERMANTOWN, TN 38138-2971
(901) 683-3993
(901) 683-8283
Mailing address
1908 EXETER RD, GERMANTOWN, TN 38138-2971
(901) 683-3993
(901) 683-8283
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS 3561
TN
Other
Enumeration date
08/30/2006
Last updated
05/14/2010
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