Organization
JAMES T MOORE, DDS, PC
Active
Other names
St Louis Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T MOORE DDS (PRESIDENT)
(314) 298-7772
Entity
Organization
Contact information
Practice address
11520 SAINT CHARLES ROCK RD, SUTIE 205, BRIDGETON, MO 63044-2732
(314) 298-7772
(314) 298-9895
Mailing address
11520 SAINT CHARLES ROCK RD, SUTIE 205, BRIDGETON, MO 63044-2732
(314) 298-7772
(314) 298-9895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11925
MO
Other
Enumeration date
08/05/2007
Last updated
06/17/2008
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