Regan L Moore is a Periodontics in Louisville, Kentucky. Regan L Moore practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Regan L Moore is 1093853095. The last update date is 2007-07-08.
Regan L Moore's current location address is 501 S Preston St, Louisville, Kentucky. You can contact this provider via phone number 5028525128 and fax number 5028527163. The mailing address for Regan L Moore is 501 S Preston St, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regan L Moore |
|---|---|
| Address | 501 S Preston St, Louisville, Kentucky |
| Phone Number | 5028525128 |
| Fax Number | 5028527163 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1093853095 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 501 S Preston St |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402920001 |
| Phone Number | 5028525128 |
| Fax Number | 5028527163 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 5947 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9179124 | DORAL DENTAL | ||
| 6003670 | KY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Regan L Moore?
The Regan L Moore has been issued the NPI (National Provider Identifier) 1093853095 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 Regan L Moore's facilities are geographically located?
The facilities of Regan L Moore are physically situated at the following location: 501 S Preston St, Louisville, KY, 402920001.
What is Regan 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 Regan L Moore is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093853095 to Regan L Moore?
The Regan L Moore received its 1093853095 assignment from the Centers for Medicare & Medicaid Services on 2007-02-02.
When was the information pertaining to Regan L Moore most recently updated or revised?
The details related to Regan L Moore, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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