Individual
DR. RICHARD A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3112 N MAIN ST, ANDERSON, SC 29621-2763
(864) 772-6500
Mailing address
3112 N MAIN ST, ANDERSON, SC 29621-2763
(864) 772-6500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22D100900700
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9590
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9684
SC
Other
Enumeration date
05/02/2007
Last updated
08/07/2020
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