| Drs. Moore And Moore Dental Associates | |
|
420 Virginia St W Charleston WV 25302-2008 | |
| (304) 343-7121 | |
| (304) 343-3323 |
| Full Name | Drs. Moore And Moore Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 420 Virginia St W, Charleston, West Virginia |
| Authorized Official Name and Position | John T Moore (GENERAL DENTIST) |
| Authorized Official Contact | 3043437121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Moore And Moore Dental Associates 420 Virginia St W Charleston WV 25302-2008 Ph: (304) 343-7121 | Drs. Moore And Moore Dental Associates 420 Virginia St W Charleston WV 25302-2008 Ph: (304) 343-7121 |
| NPI Number | 1609973825 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609973825 | NPI | - | NPPES |
| 0133287000 | Medicaid | WV | |
| 0133320000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2921 (West Virginia) | Secondary |
| 1223G0001X | Dentist - General Practice | 2902 (West Virginia) | Primary |
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