| Dr Hazel E Moore, DDS | |
|
4536 22nd Ave, Kenosha, WI 53140-5917 | |
| (262) 656-0044 | |
| (262) 653-2218 |
| Full Name | Dr Hazel E Moore |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 4536 22nd Ave, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114914066 | NPI | - | NPPES |
| 33462500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3267-015 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hazel E Moore, DDS 5822 Charles St, Racine, WI 53402-1824 Ph: (262) 681-2085 | Dr Hazel E Moore, DDS 4536 22nd Ave, Kenosha, WI 53140-5917 Ph: (262) 656-0044 |
Jane Lynn Reyerson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7117 Green Bay Rd, Kenosha, WI 53142 Phone: 262-942-7000 Fax: 262-942-7117 | |
Dr. Cesar D Gonzalez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218 | |
Dr. David J. Crewe, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 80th St, Kenosha, WI 53142 Phone: 262-694-2932 Fax: 262-694-3575 | |
Dr. Tarah Marie Gerner, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 6226 14th Ave, Kenosha, WI 53143 Phone: 262-656-0044 | |
Dr. Edmund Jung, Dentist Medicare: Medicare Enrolled Practice Location: 3715 Washington Rd, Kenosha, WI 53144 Phone: 262-654-6800 Fax: 262-657-9995 | |
Dr. Jane Wright, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7851 Cooper Rd, Kenosha, WI 53142 Phone: 262-694-5272 | |
Jasjot Chahil, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6430 Green Bay Rd, Kenosha, WI 53142 Phone: 888-988-4066 |