Individual
DR. SCOTT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
700 N KELLER DR, EFFINGHAM, IL 62401-1737
(217) 347-0588
(217) 347-0750
Mailing address
700 N KELLER DR, EFFINGHAM, IL 62401-1737
(217) 347-0588
(217) 347-0750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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