DR. Jason Thomas Moore, DDS

NPI #1720245467 in Advance, North Carolina

Provider Information

NPI Number: 1720245467
Entity Type: Individual
Name: DR. Jason Thomas Moore, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 20, 2008
Last Updated: May 20, 2008

Practice Location

Address: 135 MEDICAL DR
Address 2: SUITE 201
City: Advance
State: North Carolina
ZIP Code: 27006-6651
Phone: (336) 998-2427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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