Individual
DR. PATRICK BRETT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
6340 N CHATHAM AVE, KANSAS CITY, MO 64151-2473
(816) 746-1171
(816) 746-1171
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2523
(816) 421-7379
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2005019138
MO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2005019138
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61071
KANSAS DENTAL LICENSE
KS
Enumeration date
07/10/2006
Last updated
09/30/2016
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