| James D. Moore, Dds, Professional Llc | |
|
555 S Camino Del Rio Ste A2 Durango CO 81303-6851 | |
| (970) 259-2264 | |
| (970) 259-7073 |
| Full Name | James D. Moore, Dds, Professional Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 555 S Camino Del Rio Ste A2, Durango, Colorado |
| Authorized Official Name and Position | James Dean Moore (DENTIST/OWNER) |
| Authorized Official Contact | 9707696564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James D. Moore, Dds, Professional Llc 800 S Camino Del Rio Durango CO 81301-6898 Ph: (970) 259-2264 | James D. Moore, Dds, Professional Llc 555 S Camino Del Rio Ste A2 Durango CO 81303-6851 Ph: (970) 259-2264 |
| NPI Number | 1295125797 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 07/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295125797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN 00010004 (Colorado) | Primary |
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