Kathryn Ann Moore in Roseville - Pediatric Dentistry

Kathryn Ann Moore - NPI 1326242348

Kathryn Ann Moore is a Pediatric Dentistry in Roseville, California. Kathryn Ann Moore practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kathryn Ann Moore is 1326242348. The last update date is 2007-07-08.

Kathryn Ann Moore's current location address is 700 Sunrise Ave, Roseville, California. You can contact this provider via phone number 9167821209 and fax number 9167821770. The mailing address for Kathryn Ann Moore is 700 Sunrise Ave, Roseville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathryn Ann Moore
Address 700 Sunrise Ave, Roseville, California
Phone Number 9167821209
Fax Number 9167821770
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1326242348
Provider Enumeration Date 2007-06-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 700 Sunrise Ave
City Roseville
State California (CA)
Post Code 95661
Phone Number 9167821209
Fax Number 9167821770

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 15256
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Kathryn Ann Moore

What is the Kathryn Ann Moore's unique identification number?

The Kathryn Ann Moore has been assigned the NPI (National Provider Identifier) Number 1326242348 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 Kathryn Ann Moore is physically located?

The Kathryn Ann Moore is physically situated at the following address: 700 Sunrise Ave, Roseville, CA, 95661.

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

The specialized field of practice for Kathryn Ann Moore is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services issue the 1326242348 to Kathryn Ann Moore?

The Kathryn Ann Moore received its 1326242348 assignment from the Centers for Medicare & Medicaid Services on 2007-06-13.

When was the information regarding Kathryn Ann Moore most recently updated?

The details pertaining to the Kathryn Ann Moore, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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