Jeffrey Morgan Moore, DDS is a
Dentist based in Walling, Tennessee. Jeffrey Morgan Moore is licensed to practice in Tennessee (license number DS 4172) and his current practice location is
11765 Mcminnville Hwy, Walling, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 657-5204.
NPI number for Jeffrey Morgan Moore is 1447318803 and his current mailing address is 11765 Mcminnville Hwy, Walling, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447318803.
Healthcare Provider's Profile
| Full Name | Jeffrey Morgan Moore |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 11765 Mcminnville Hwy, Walling, Tennessee |
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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: 1447318803
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 01/28/2010
Medical Identifiers
Medical identifiers for Jeffrey Morgan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447318803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DS 4172 (Tennessee) | 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. Jeffrey Morgan 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 |
|---|
Jeffrey Morgan Moore, DDS
11765 Mcminnville Hwy,
Walling, TN 38587-5040
Ph: (931) 657-5204 | Jeffrey Morgan Moore, DDS
11765 Mcminnville Hwy,
Walling, TN 38587
Ph: (931) 657-5204 |
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