Healthcare Provider Details

I. General information

NPI: 1952223398
Provider Name (Legal Business Name): ASHTON MOORE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8076 US 42
FLORENCE KY
41042-1474
US

IV. Provider business mailing address

8076 US 42
FLORENCE KY
41042-1474
US

V. Phone/Fax

Practice location:
  • Phone: 859-282-9741
  • Fax:
Mailing address:
  • Phone: 859-282-9741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD-00232
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: