Jeffrey W Moore DDS PA
NPI #1003901661 in Richardson, Texas
Provider Information
- NPI Number
- 1003901661
- Entity Type
- Organization
- Organization Name
- Jeffrey W Moore DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4011 E. RENNER ROAD
- Address 2
- SUITE #107
- City
- Richardson
- State
- Texas
- ZIP Code
- 75082-2917
- Phone
- (972) 238-5665
Authorized Official
- Name
- DR. JEFFREY W MOORE, D.D.S.
- Title
- PRESIDENT
- Phone
- (972) 238-5665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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