Raven Shanice Moore, DDS

NPI #1467140574 in Smyrna, Tennessee

Provider Information

NPI Number: 1467140574
Entity Type: Individual
Name: Raven Shanice Moore, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 26, 2023
Last Updated: Apr 26, 2023

Practice Location

Address: 574 W SAM RIDLEY PKWY
City: Smyrna
State: Tennessee
ZIP Code: 37167-5621
Phone: (615) 488-1151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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