DR. Frederick Thomas Moore, D.M.D.
NPI #1174708010 in Charleston, South Carolina
Provider Information
- NPI Number
- 1174708010
- Entity Type
- Individual
- Name
- DR. Frederick Thomas Moore, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- D.M.D.
- Enumeration Date
- Jan 9, 2008
- Last Updated
- Jan 9, 2008
Practice Location
- Address
- 173 ASHLEY AVE
- Address 2
- BSB 249,
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29425-8908
- Phone
- (843) 792-0693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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