| Greg Moore, Dds | |
|
4723 N Roan St Johnson City TN 37615-3976 | |
| (423) 283-0511 | |
| (423) 283-0899 |
| Full Name | Greg Moore, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4723 N Roan St, Johnson City, Tennessee |
| Authorized Official Name and Position | Melvin Greg Moore (OWNER) |
| Authorized Official Contact | 4232830511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Moore, Dds 4723 N Roan St Johnson City TN 37615-3976 Ph: (423) 283-0511 | Greg Moore, Dds 4723 N Roan St Johnson City TN 37615-3976 Ph: (423) 283-0511 |
| NPI Number | 1154249340 |
|---|---|
| Provider Enumeration Date | 07/07/2026 |
| Last Update Date | 07/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154249340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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