| Andrew L Moore Jr Ms Pc | |
|
2063 Jefferson Davis Hwy Suite One Stafford VA 22554 | |
| (540) 659-7515 | |
| (540) 659-7515 |
| Full Name | Andrew L Moore Jr Ms Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2063 Jefferson Davis Hwy, Stafford, Virginia |
| Authorized Official Name and Position | Andrew Lewis Moore (OWNER) |
| Authorized Official Contact | 5406597515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew L Moore Jr Ms Pc Po Box 968 Stafford VA 22555 Ph: (540) 659-7515 | Andrew L Moore Jr Ms Pc 2063 Jefferson Davis Hwy Suite One Stafford VA 22554 Ph: (540) 659-7515 |
| NPI Number | 1538326517 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538326517 | NPI | - | NPPES |
| 686682 | Other | VA | CARENET |
| 104019 | Other | VA | UNITED CON TRICARE |
| 291871 | Other | VA | ANTHEM |
| 7804148 | Other | VA | SMILES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 041006050 (Virginia) | Primary |
Neibauer Dental Care, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Publix Way Ste 120, Stafford, VA 22554 Phone: 540-779-0395 | |
Raj J Patel Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2757 Jefferson Davis Hwy, Suite 119, Stafford, VA 22554 Phone: 540-659-2000 | |
New Smiles Dental Stafford Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Garrisonville Rd, Suite# 201, Stafford, VA 22554 Phone: 540-720-1222 | |
Advanced Dental Care Of Stafford Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2052 Jefferson Davis Hwy Ste 103, Stafford, VA 22554 Phone: 540-288-2800 Fax: 540-659-3536 | |
Northern Virginia Dental Arts - Stafford Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Corporate Dr, Suite 200, Stafford, VA 22554 Phone: 703-291-5738 | |
Suite Tooth Pediatrics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Garrisonville Rd, Stafford, VA 22556 Phone: 716-860-4238 | |
Sasan Ahmadiyar Dds & Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Garrisonville Rd, Suite 108, Stafford, VA 22554 Phone: 540-657-7645 Fax: 540-657-1009 |