| Daniel J Moore Dds A Professional Dental Corp | |
|
1117 Homer Road Minden LA 71058 | |
| (318) 371-2211 | |
| Not Available |
| Full Name | Daniel J Moore Dds A Professional Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1117 Homer Road, Minden, Louisiana |
| Authorized Official Name and Position | Daniel J Moore (DOCTOR DENTIST) |
| Authorized Official Contact | 3183712211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Moore Dds A Professional Dental Corp Po Box 310 1117 Homer Road Minden LA 71058 Ph: (318) 371-2211 | Daniel J Moore Dds A Professional Dental Corp 1117 Homer Road Minden LA 71058 Ph: (318) 371-2211 |
| NPI Number | 1447302054 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 02/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447302054 | NPI | - | NPPES |
| 1838608 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3860 (Louisiana) | Primary |
Horseshoe Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 164 Country Club Circle, Suite A, Minden, LA 71055 Phone: 318-639-9559 Fax: 318-639-9560 | |
Sr Minden Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Cline St, Minden, LA 71055 Phone: 318-377-0763 Fax: 318-377-0764 | |
Elm Street Dental Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Elm St, Minden, LA 71055 Phone: 318-377-9411 Fax: 318-377-1424 |