Richard Moore I, DDS is a
Dentist - General Practice based in Benton, Louisiana. Richard Moore I is licensed to practice in Louisiana (license number 6750) and his current practice location is
2455 Cypress Village Dr, Benton, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 422-6900.
NPI number for Richard Moore I is 1518494657 and his current mailing address is 2455 Cypress Village Dr, Benton, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518494657.
Healthcare Provider's Profile
Full Name | Richard Moore I |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 2455 Cypress Village Dr, Benton, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518494657
- Provider Enumeration Date: 05/19/2017
- Last Update Date: 05/19/2017
Medical Identifiers
Medical identifiers for Richard Moore I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518494657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 6750 (Louisiana) | 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. Richard Moore I 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 |
Richard Moore I, DDS 2455 Cypress Village Dr, Benton, LA 71006-9119 Ph: (318) 422-6900 | Richard Moore I, DDS 2455 Cypress Village Dr, Benton, LA 71006-9119 Ph: (318) 422-6900 |
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