Individual
DR. CASEY S. MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3082 S DELAWARE AVE, SPRINGFIELD, MO 65804-6418
(417) 887-1397
Mailing address
3082 S DELAWARE AVE, SPRINGFIELD, MO 65804-6418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2001012815
MO
Other
Enumeration date
10/03/2005
Last updated
07/08/2007
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