Ronald Moore, - Dentist in Prescott, AZ

Ronald Moore, is a Dentist - General Practice based in Prescott, Arizona. Ronald Moore is licensed to practice in Arizona (license number D1717) and his current practice location is 222 S Summit Ave, Prescott, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 445-0582.

NPI number for Ronald Moore is 1922390822 and his current mailing address is 2430 N Shadow Valley Ranch Trl, Prescott, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922390822.

Contact Information

Ronald Moore,
222 S Summit Ave,
Prescott, AZ 86303-3780
(928) 445-0582
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRonald Moore
GenderMale
SpecialityDentist - General Practice
Location222 S Summit Ave, Prescott, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922390822
  • Provider Enumeration Date: 05/10/2011
  • Last Update Date: 05/10/2011

Medical Identifiers

Medical identifiers for Ronald Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922390822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D1717 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ronald Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ronald Moore,
2430 N Shadow Valley Ranch Trl,
Prescott, AZ 86305-6903

Ph: () -
Ronald Moore,
222 S Summit Ave,
Prescott, AZ 86303-3780

Ph: (928) 445-0582

Reviews and Comments


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