Jack Lowell Moore in Roseville - Pediatric Dentistry
Jack Lowell Moore - NPI 1982890331
Jack Lowell Moore is a Pediatric Dentistry in Roseville, California. Jack Lowell Moore practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jack Lowell Moore is 1982890331. The last update date is 2007-09-19.
Jack Lowell Moore's current location address is 700 Sunrise Avenue, Roseville, California. You can contact this provider via phone number 9167821209 and fax number 9167821770. The mailing address for Jack Lowell Moore is 700 Sunrise Avenue, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Lowell Moore |
|---|---|
| Address | 700 Sunrise Avenue, Roseville, California |
| Phone Number | 9167821209 |
| Fax Number | 9167821770 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982890331 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2007-09-19 |
Provider Mailing Address Detail
| Address | 700 Sunrise Avenue |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956614561 |
| Phone Number | 9167821209 |
| Fax Number | 9167821770 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 17346 |
|
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 provider identifier assigned to Jack Lowell Moore?
The Jack Lowell Moore has been issued the NPI (National Provider Identifier) 1982890331 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jack Lowell Moore's facilities are geographically located?
The facilities of Jack Lowell Moore are physically situated at the following location: 700 Sunrise Avenue, Roseville, CA, 956614561.
What is Jack Lowell Moore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack Lowell Moore is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date was the 1982890331 assigned to Jack Lowell Moore?
The Jack Lowell Moore was issued its 1982890331 on 2007-09-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jack Lowell Moore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jack Lowell Moore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-19.
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