Mark Wayne Moore is a Endodontics in Meridian, Mississippi. Mark Wayne Moore practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Mark Wayne Moore is 1699981183. The last update date is 2007-07-08.
Mark Wayne Moore's current location address is 2301 12th St, Meridian, Mississippi. You can contact this provider via phone number 6014831818 and fax number 6014831117. The mailing address for Mark Wayne Moore is 2301 12th St, Meridian, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Wayne Moore |
|---|---|
| Address | 2301 12th St, Meridian, Mississippi |
| Phone Number | 6014831818 |
| Fax Number | 6014831117 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1699981183 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2301 12th St |
|---|---|
| City | Meridian |
| State | Mississippi (MS) |
| Post Code | 393013934 |
| Phone Number | 6014831818 |
| Fax Number | 6014831117 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | ENDO-321 |
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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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What is the unique 10-digit identification code issued to Mark Wayne Moore by the Centers for Medicare & Medicaid Services?
The Mark Wayne Moore has been assigned the NPI (National Provider Identifier) 1699981183 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Mark Wayne Moore is physically located?
The Mark Wayne Moore is physically situated at the following address: 2301 12Th St, Meridian, MS, 393013934.
What is Mark Wayne Moore's area of expertise and its corresponding taxonomy classification?
The Mark Wayne Moore's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
When did the Mark Wayne Moore receive its 1699981183?
The Mark Wayne Moore was issued its 1699981183 on 2007-05-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Mark Wayne Moore last refreshed?
The information related to the Mark Wayne Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.