David Dwight Moore in San Mateo - Endodontics
David Dwight Moore - NPI 1225204407
David Dwight Moore is a Endodontics in San Mateo, California. David Dwight Moore practices all healthcare services and medical treatments related to Endodontics. The NPI Number for David Dwight Moore is 1225204407. The last update date is 2010-09-03.
David Dwight Moore's current location address is 235 N San Mateo Dr, San Mateo, California. You can contact this provider via phone number 6503400225. The mailing address for David Dwight Moore is 235 N San Mateo Dr, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Dwight Moore |
|---|---|
| Address | 235 N San Mateo Dr, San Mateo, California |
| Phone Number | 6503400225 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1225204407 |
|---|---|
| Provider Enumeration Date | 2008-05-07 |
| Last Updated Date | 2010-09-03 |
Provider Mailing Address Detail
| Address | 235 N San Mateo Dr |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 944012621 |
| Phone Number | 6503400225 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 59684 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R394 | MN | RESIDENT PERMIT |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David Dwight Moore by the Centers for Medicare & Medicaid Services?
The David Dwight Moore has been assigned the NPI (National Provider Identifier) 1225204407 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the David Dwight Moore's physical address?
The David Dwight Moore is physically located at 235 N San Mateo Dr, in the city of San Mateo, CA, with the postal code 944012621.
What is David Dwight Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Dwight Moore's area of specialization is Endodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225204407 to David Dwight Moore?
The Centers for Medicare & Medicaid Services assigned the 1225204407 to David Dwight Moore on 2008-05-07.
When was the information pertaining to David Dwight Moore most recently updated or revised?
The details related to David Dwight Moore, including its address, specialty, and other relevant information, were last updated or revised on 2010-09-03.