Organization
DAVID H. MOORE DDS, MS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI MYRICK PARKER (ACCOUNT COORDINATOR)
(704) 377-3694
Entity
Organization
Contact information
Practice address
10320 MALLARD CREEK RD, SUITE 150, CHARLOTTE, NC 28262-9756
(704) 547-8438
(704) 547-9323
Mailing address
411 BILLINGSLEY RD, SUITE 106, CHARLOTTE, NC 28211
(704) 547-8438
(704) 547-9323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903366
—
NC
05
—
5905114
—
NC
05
—
5905575
—
NC
05
—
5907730
—
NC
05
—
89902RT
—
NC
05
—
8996034
—
NC
Enumeration date
03/13/2008
Last updated
03/13/2008
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