Individual
DR. JASON THOMAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
135 MEDICAL DR, SUITE 201, ADVANCE, NC 27006-6651
(336) 998-2427
(336) 998-1088
Mailing address
135 MEDICAL DR, SUITE 201, ADVANCE, NC 27006-6651
(336) 998-2427
(336) 998-1088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8581
NC
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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