Individual
DR. BARTLEY REED MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1225 W MAIN ST, GRAFTON, WV 26354-1048
(304) 265-1800
(304) 265-3468
Mailing address
1225 N PIKE ST, GRAFTON, WV 26354-2629
(304) 265-1800
(304) 265-3468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3406
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4003007000
—
WV
Enumeration date
08/01/2006
Last updated
02/04/2016
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