Jeffrey Richard Moran in Albany - Pediatric Dentistry

Jeffrey Richard Moran - NPI 1558400853

Jeffrey Richard Moran is a Pediatric Dentistry in Albany, New York. Jeffrey Richard Moran practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jeffrey Richard Moran is 1558400853. The last update date is 2007-07-08.

Jeffrey Richard Moran's current location address is 4 Executive Park Dr, Albany, New York. You can contact this provider via phone number 5184896972 and fax number 5184461824. The mailing address for Jeffrey Richard Moran is 4 Executive Park Dr, Albany, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Richard Moran
Address 4 Executive Park Dr, Albany, New York
Phone Number 5184896972
Fax Number 5184461824
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1558400853
Provider Enumeration Date 2007-02-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4 Executive Park Dr
City Albany
State New York (NY)
Post Code 122033718
Phone Number 5184896972
Fax Number 5184461824

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 34958
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 Jeffrey Richard Moran

What is the unique 10-digit identifier code issued to Jeffrey Richard Moran by the Centers for Medicare & Medicaid Services?

The Jeffrey Richard Moran has been assigned the NPI (National Provider Identifier) 1558400853 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 physical address where Jeffrey Richard Moran is located?

The Jeffrey Richard Moran is situated at the following address: 4 Executive Park Dr, Albany, NY, 122033718.

What is Jeffrey Richard Moran's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffrey Richard Moran is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

On what date did the Jeffrey Richard Moran receive its 1558400853 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey Richard Moran was assigned its 1558400853 by the Centers for Medicare & Medicaid Services on 2007-02-05.

When was the information regarding Jeffrey Richard Moran, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jeffrey Richard Moran, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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