| R Dan Moore Dds Md Oral And Facial Surgery | |
|
24 Penn Plz Bangor ME 04401-3620 | |
| (207) 947-6146 | |
| (207) 947-5237 |
| Full Name | R Dan Moore Dds Md Oral And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 24 Penn Plz, Bangor, Maine |
| Authorized Official Name and Position | Robert Dan Moore (DOCTOR) |
| Authorized Official Contact | 2079476146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Dan Moore Dds Md Oral And Facial Surgery 24 Penn Plz Bangor ME 04401-3620 Ph: (207) 947-6146 | R Dan Moore Dds Md Oral And Facial Surgery 24 Penn Plz Bangor ME 04401-3620 Ph: (207) 947-6146 |
| NPI Number | 1609001676 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 07/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609001676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3658 (Maine) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3658 (Maine) | Primary |
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