Organization
MOORE DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT ALLEN MOORE D.D.S. (PRESIDENT)
(317) 348-1354
Entity
Organization
Contact information
Practice address
11630 OLIO RD, SUITE #100, FISHERS, IN 46037-7677
(317) 348-1354
(866) 511-4151
Mailing address
14575 LANSING PL, FISHERS, IN 46038-5273
(317) 679-8207
(866) 511-4151
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010751A
IN
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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