Individual
JEFFREY MORGAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11765 MCMINNVILLE HWY, WALLING, TN 38587
(931) 657-5204
(931) 657-2134
Mailing address
11765 MCMINNVILLE HWY, WALLING, TN 38587-5040
(931) 657-5204
(931) 657-2134
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 4172
TN
Other
Enumeration date
12/05/2006
Last updated
01/28/2010
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