Russell Ernest Moore in Johnstown - General Practice
Russell Ernest Moore - NPI 1578525184
Russell Ernest Moore is a General Practice in Johnstown, Pennsylvania. Russell Ernest Moore practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell Ernest Moore is 1578525184. The last update date is 2007-07-08.
Russell Ernest Moore's current location address is 203 Delta Dr, Johnstown, Pennsylvania. You can contact this provider via phone number 8142667192 and fax number 8142629702. The mailing address for Russell Ernest Moore is 203 Delta Dr, Johnstown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Ernest Moore |
|---|---|
| Address | 203 Delta Dr, Johnstown, Pennsylvania |
| Phone Number | 8142667192 |
| Fax Number | 8142629702 |
| Sole Proprietor | X |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1578525184 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 203 Delta Dr |
|---|---|
| City | Johnstown |
| State | Pennsylvania (PA) |
| Post Code | 159041878 |
| Phone Number | 8142667192 |
| Fax Number | 8142629702 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS036489 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1746802 | PA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Russell Ernest Moore by the Centers for Medicare & Medicaid Services?
The Russell Ernest Moore has been assigned the NPI (National Provider Identifier) 1578525184 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Russell Ernest Moore is physically located?
The Russell Ernest Moore is situated at the following address: 203 Delta Dr, Johnstown, PA 159041878.
What is Russell Ernest Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Russell Ernest Moore is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578525184 to Russell Ernest Moore?
The Centers for Medicare & Medicaid Services originally issued the 1578525184 to Russell Ernest Moore on 2006-04-06.
When was the information regarding Russell Ernest Moore most recently updated?
The details pertaining to the Russell Ernest Moore, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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