Stephen Phillip Moore in Wichita - Pediatric Dentistry
Stephen Phillip Moore - NPI 1376519439
Stephen Phillip Moore is a Pediatric Dentistry in Wichita, Kansas. Stephen Phillip Moore practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Stephen Phillip Moore is 1376519439. The last update date is 2007-07-08.
Stephen Phillip Moore's current location address is 356 N Rock Rd, Wichita, Kansas. You can contact this provider via phone number 3166813228. The mailing address for Stephen Phillip Moore is 356 N Rock Rd, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Phillip Moore |
|---|---|
| Address | 356 N Rock Rd, Wichita, Kansas |
| Phone Number | 3166813228 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1376519439 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 356 N Rock Rd |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672062200 |
| Phone Number | 3166813228 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5156 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Stephen Phillip Moore by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen Phillip Moore has been assigned the NPI (National Provider Identifier) 1376519439. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Stephen Phillip Moore's physical address?
The Stephen Phillip Moore is physically located at 356 N Rock Rd, in the city of Wichita, KS, with the postal code 672062200.
What is the area of specialization for Stephen Phillip Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephen Phillip Moore is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Stephen Phillip Moore receive its 1376519439 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Phillip Moore was assigned its 1376519439 by the Centers for Medicare & Medicaid Services on 2006-02-27.
As of what date were the details pertaining to Stephen Phillip Moore last refreshed?
The information related to the Stephen Phillip Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.