| Casey S. Moore, Dds Llc | |
|
3082 S Delaware Ave Springfield MO 65804-6418 | |
| (417) 887-1397 | |
| Not Available |
| Full Name | Casey S. Moore, Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3082 S Delaware Ave, Springfield, Missouri |
| Authorized Official Name and Position | Casey Moore (OWNER) |
| Authorized Official Contact | 4178871397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casey S. Moore, Dds Llc 3082 S Delaware Ave Springfield MO 65804-6418 Ph: (417) 887-1397 | Casey S. Moore, Dds Llc 3082 S Delaware Ave Springfield MO 65804-6418 Ph: (417) 887-1397 |
| NPI Number | 1194281410 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 02/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194281410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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