Individual
DR. JOE ALLEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
206 MAYES AVE, SWEETWATER, TN 37874
(423) 337-5045
(423) 337-5044
Mailing address
P O BOX 69, SWEETWATER, TN 37874
(423) 337-5045
(423) 337-5044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS2299
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020476
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/21/2006
Last updated
07/08/2007
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