Individual
DR. GREGORY TODD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
726 STATE FARM RD STE A, BOONE, NC 28607-4945
(828) 264-6302
(828) 262-6301
Mailing address
726 STATE FARM RD STE A, BOONE, NC 28607-4945
(828) 264-6302
(828) 262-6301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996068
—
NC
Enumeration date
11/09/2006
Last updated
07/08/2007
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