Marlon K Moore in Bronx - Oral And Maxillofacial Surgery
Marlon K Moore - NPI 1467563262
Marlon K Moore is a Oral And Maxillofacial Surgery in Bronx, New York. Marlon K Moore practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Marlon K Moore is 1467563262. The last update date is 2007-07-08.
Marlon K Moore's current location address is 1332 Metropolitan Ave, Bronx, New York. You can contact this provider via phone number 7188286200 and fax number 7188280284. The mailing address for Marlon K Moore is 1332 Metropolitan Ave, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marlon K Moore |
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Address | 1332 Metropolitan Ave, Bronx, New York |
Phone Number | 7188286200 |
Fax Number | 7188280284 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1467563262 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1332 Metropolitan Ave |
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City | Bronx |
State | New York (NY) |
Post Code | 104627978 |
Phone Number | 7188286200 |
Fax Number | 7188280284 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 45968 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1815892 | NY | -- |
Post Comment/ Review Below
What is the Marlon K Moore's unique identification number?
The Marlon K Moore has been assigned the NPI (National Provider Identifier) Number 1467563262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Marlon K Moore is geographically located?
The Marlon K Moore is physically situated at the following location: 1332 Metropolitan Ave, Bronx, NY, 104627978.
What is Marlon K Moore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Marlon K Moore is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1467563262 to Marlon K Moore?
The Marlon K Moore received its 1467563262 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information regarding Marlon K Moore most recently updated?
The details pertaining to the Marlon K Moore, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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