John Walter Moore in Burlington - General Practice

John Walter Moore - NPI 1720075757

John Walter Moore is a General Practice in Burlington, Iowa. John Walter Moore practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Walter Moore is 1720075757. The last update date is 2007-07-08.

John Walter Moore's current location address is 2010 N Roosevelt Ave, Burlington, Iowa. You can contact this provider via phone number 3197536265. The mailing address for John Walter Moore is 2010 N Roosevelt Ave, Burlington, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name John Walter Moore
Address 2010 N Roosevelt Ave, Burlington, Iowa
Phone Number 3197536265
Fax Number
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1720075757
Provider Enumeration Date 2005-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2010 N Roosevelt Ave
City Burlington
State Iowa (IA)
Post Code 526012340
Phone Number 3197536265
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7326
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
49189 IA --

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FAQs about John Walter Moore

What is the unique identifier code issued to John Walter Moore by the Centers for Medicare & Medicaid Services (CMS)?

The John Walter Moore has been assigned the NPI (National Provider Identifier) 1720075757. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where John Walter Moore is geographically located?

The John Walter Moore is physically situated at the following location: 2010 N Roosevelt Ave, Burlington, IA, 526012340.

What is John Walter Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Walter Moore's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1720075757 to John Walter Moore?

The Centers for Medicare & Medicaid Services assigned the 1720075757 to John Walter Moore on 2005-10-04.

As of what date were the details pertaining to John Walter Moore last refreshed?

The information related to the John Walter Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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