Welton Randolph Moore, DDS is a
Dentist based in Stanton, Texas. Welton Randolph Moore is licensed to practice in Texas (license number 11203) and his current practice location is
1105 W Broadway, Stanton, Texas. He can be reached at his office (for appointments etc.) via phone at
(432) 756-3231.
NPI number for Welton Randolph Moore is 1497870299 and his current mailing address is Po Box 860, Stanton, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497870299.
Healthcare Provider's Profile
| Full Name | Welton Randolph Moore |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 1105 W Broadway, Stanton, Texas |
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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: 1497870299
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Welton Randolph Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497870299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 11203 (Texas) | 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. Welton Randolph 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 |
|---|
Welton Randolph Moore, DDS
Po Box 860,
Stanton, TX 79782-0860
Ph: (432) 756-3231 | Welton Randolph Moore, DDS
1105 W Broadway,
Stanton, TX 79782
Ph: (432) 756-3231 |
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