DR. Evan Stout Moore, DDS
NPI #1548828916 in Madison, North Carolina
Provider Information
- NPI Number
- 1548828916
- Entity Type
- Individual
- Name
- DR. Evan Stout Moore, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 31, 2019
- Last Updated
- Sep 18, 2024
Practice Location
- Address
- 201 N DALTON ST
- City
- Madison
- State
- North Carolina
- ZIP Code
- 27025-1903
- Phone
- (336) 548-9678
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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