| Robert L Moore Dds | |
|
1717 W 6th Ave Stillwater OK 74074 | |
| (405) 624-8955 | |
| (405) 743-3366 |
| Full Name | Robert L Moore Dds |
|---|---|
| Speciality | Dentist |
| Location | 1717 W 6th Ave, Stillwater, Oklahoma |
| Authorized Official Name and Position | Robert L Moore (DENTIST OWNER) |
| Authorized Official Contact | 4056248955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Moore Dds 1717 W 6th Ave Stillwater OK 74074-4200 Ph: (405) 624-8955 | Robert L Moore Dds 1717 W 6th Ave Stillwater OK 74074 Ph: (405) 624-8955 |
| NPI Number | 1104083740 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104083740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4620 (Oklahoma) | Primary |
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