Individual
DR. JAMES T MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11520 SAINT CHARLES ROCK RD, SUITE 205, BRIDGETON, MO 63044-2732
(314) 298-7772
(314) 298-9895
Mailing address
3349 CARRIAGE XING, SAINT CHARLES, MO 63301-3223
(636) 896-0426
(314) 298-9895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11925
MO
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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