Individual
DR. DILLON RAYMOND MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 BROAD ST, CENTRAL FALLS, RI 02863-1507
(401) 722-0081
(401) 312-0318
Mailing address
39 EAST AVE, PAWTUCKET, RI 02860-4003
(401) 722-0081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03598
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN03598
RI STATE LICENSE
RI
Enumeration date
04/28/2021
Last updated
10/13/2025
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