Individual
DR. JANEEN M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
107 CHARLES E DAVIS BLVD, NASHVILLE, TN 37210-2745
(615) 227-3000
Mailing address
107 CHARLES E DAVIS BLVD, NASHVILLE, TN 37210-2745
(337) 654-9044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6009
LA
1223G0001X
General Practice Dentistry
Primary
8778
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407200708
—
MO
Enumeration date
07/03/2006
Last updated
12/28/2023
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