Dr Kent E Moore, MD, DDS is a
Oral & Maxillofacial Surgery based in Charlotte, North Carolina. Dr Kent E Moore is licensed to practice in North Carolina (license number 5366) and his current practice location is
2711 Randolph Rd, Suite 510, Charlotte, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 358-8898.
NPI number for Dr Kent E Moore is 1851325260 and his current mailing address is 2711 Randolph Rd, Suite 510, Charlotte, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851325260.
Healthcare Provider's Profile
| Full Name | Dr Kent E Moore |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 2711 Randolph Rd, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851325260
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/19/2019
Medical Identifiers
Medical identifiers for Dr Kent E Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851325260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5366 (North Carolina) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 5366 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kent E Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kent E Moore, MD, DDS
2711 Randolph Rd, Suite 510,
Charlotte, NC 28207-2034
Ph: (704) 358-8898 | Dr Kent E Moore, MD, DDS
2711 Randolph Rd, Suite 510,
Charlotte, NC 28207-2034
Ph: (704) 358-8898 |
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