| David H. Moore Dds, Ms, Pa | |
|
10320 Mallard Creek Rd Suite 150 Charlotte NC 28262-9756 | |
| (704) 547-8438 | |
| (704) 547-9323 |
| Full Name | David H. Moore Dds, Ms, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10320 Mallard Creek Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Brandi Myrick Parker (ACCOUNT COORDINATOR) |
| Authorized Official Contact | 7043773694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David H. Moore Dds, Ms, Pa 411 Billingsley Rd Suite 106 Charlotte NC 28211 Ph: (704) 547-8438 | David H. Moore Dds, Ms, Pa 10320 Mallard Creek Rd Suite 150 Charlotte NC 28262-9756 Ph: (704) 547-8438 |
| NPI Number | 1801067327 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801067327 | NPI | - | NPPES |
| 5907730 | Medicaid | NC | |
| 5903366 | Medicaid | NC | |
| 5905575 | Medicaid | NC | |
| 89902RT | Medicaid | NC | |
| 8996034 | Medicaid | NC | |
| 5905114 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Stephen C. Wheeler, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Providence Rd, Charlotte, NC 28207 Phone: 704-377-1444 | |
George J Stuart Jr Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 A Randolph Rd, Charlotte, NC 28207 Phone: 704-377-1885 Fax: 704-374-1731 | |
Southend Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 South Blvd, Suite 110, Charlotte, NC 28203 Phone: 704-335-8266 Fax: 704-335-8267 | |
Monique D Mceachern Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10226 Couloak Drive, Ste 100, Charlotte, NC 28216 Phone: 704-971-7272 Fax: 704-971-7522 | |
Drs Reimels & Miller Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Central Ave, Charlotte, NC 28205 Phone: 704-900-7301 | |
South Park Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2719 Coltsgate Rd, Charlotte, NC 28211 Phone: 704-366-8707 Fax: 704-366-8717 | |
Raynald L. Desameau Dmd Pllc Iv Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10460 Park Rd, Charlotte, NC 28210 Phone: 704-540-5440 |