Shane L Moore in Amarillo - Pediatric Dentistry
Shane L Moore - NPI 1538233622
Shane L Moore is a Pediatric Dentistry in Amarillo, Texas. Shane L Moore practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Shane L Moore is 1538233622. The last update date is 2007-07-08.
Shane L Moore's current location address is 2455 W Interstate 40, Amarillo, Texas. You can contact this provider via phone number 8063505437 and fax number 8063505438. The mailing address for Shane L Moore is 2455 W Interstate 40, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane L Moore |
|---|---|
| Address | 2455 W Interstate 40, Amarillo, Texas |
| Phone Number | 8063505437 |
| Fax Number | 8063505438 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1538233622 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2455 W Interstate 40 |
|---|---|
| City | Amarillo |
| State | Texas (TX) |
| Post Code | 791091852 |
| Phone Number | 8063505437 |
| Fax Number | 8063505438 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 18661 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1420292 | TX | UNITED CONCORDIA | |
| 89D745 | TX | BLUECROSSBLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shane L Moore?
The Shane L Moore has been issued the NPI (National Provider Identifier) 1538233622 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shane L Moore's facilities are situated?
The facilities of Shane L Moore are physically located at the following address: 2455 W Interstate 40, Amarillo, TX, 791091852.
What is Shane L Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shane L Moore is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
When did Shane L Moore receive its 1538233622 assignment?
The Shane L Moore was assigned its 1538233622 on 2006-11-20, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Shane L Moore last refreshed?
The information related to the Shane L Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.