Michael Ralph Moore in Jacksonville - Dentist

Michael Ralph Moore - NPI 1184643082

Michael Ralph Moore is a Dentist in Jacksonville, Florida. Michael Ralph Moore practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Ralph Moore is 1184643082. The last update date is 2020-09-17.

Michael Ralph Moore's current location address is 7146 Fitzpatrick Ln, Jacksonville, Florida. You can contact this provider via phone number 9047573330 and fax number 9047576265. The mailing address for Michael Ralph Moore is 7146 Fitzpatrick Ln, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Ralph Moore
Address 7146 Fitzpatrick Ln, Jacksonville, Florida
Phone Number 9047573330
Fax Number 9047576265
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1184643082
Provider Enumeration Date 2006-07-19
Last Updated Date 2020-09-17

Provider Mailing Address Detail

Address 7146 Fitzpatrick Ln
City Jacksonville
State Florida (FL)
Post Code 322262220
Phone Number 9047573330
Fax Number 9047576265

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DN7308
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Michael Ralph Moore

What is the Michael Ralph Moore's unique identification number?

The Michael Ralph Moore has been assigned the NPI (National Provider Identifier) Number 1184643082 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Michael Ralph Moore is physically located?

The Michael Ralph Moore is physically situated at the following address: 7146 Fitzpatrick Ln, Jacksonville, FL, 322262220.

What is the area of specialization for Michael Ralph Moore, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael Ralph Moore is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1184643082 to Michael Ralph Moore?

The Centers for Medicare & Medicaid Services assigned the 1184643082 to Michael Ralph Moore on 2006-07-19.

As of what date were the Michael Ralph Moore's details last updated?

The information pertaining to the Michael Ralph Moore, including its address, specialty, and other details, was most recently updated on 2020-09-17.

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