| Moore Dentistry, Inc. | |
|
11630 Olio Rd Suite #100 Fishers IN 46037-7677 | |
| (317) 348-1354 | |
| (866) 511-4151 |
| Full Name | Moore Dentistry, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11630 Olio Rd, Fishers, Indiana |
| Authorized Official Name and Position | Brent Allen Moore (PRESIDENT) |
| Authorized Official Contact | 3173481354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Dentistry, Inc. 14575 Lansing Pl Fishers IN 46038-5273 Ph: (317) 679-8207 | Moore Dentistry, Inc. 11630 Olio Rd Suite #100 Fishers IN 46037-7677 Ph: (317) 348-1354 |
| NPI Number | 1922270404 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922270404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010751A (Indiana) | Primary |
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