| Rj Moore & Am Moore Llc | |
|
1414 Blizzard Dr Parkersburg WV 26101-6423 | |
| (304) 424-5355 | |
| Not Available |
| Full Name | Rj Moore & Am Moore Llc |
|---|---|
| Speciality | Dentist |
| Location | 1414 Blizzard Dr, Parkersburg, West Virginia |
| Authorized Official Name and Position | Aaron Michael Moore (MEMBER) |
| Authorized Official Contact | 3044245355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rj Moore & Am Moore Llc 1414 Blizzard Dr Parkersburg WV 26101-6423 Ph: (304) 424-5355 | Rj Moore & Am Moore Llc 1414 Blizzard Dr Parkersburg WV 26101-6423 Ph: (304) 424-5355 |
| NPI Number | 1891188801 |
|---|---|
| Provider Enumeration Date | 03/15/2015 |
| Last Update Date | 04/26/2021 |
| Medicare PECOS PAC ID | 1153720388 |
|---|---|
| Medicare Enrollment ID | O20210520001515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891188801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3424 (West Virginia) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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