Healthcare Provider Details

I. General information

NPI: 1932063542
Provider Name (Legal Business Name): MOORE DEYO FAMILY DENTISTRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 140 VILLAGE RD STE 4
WESTMINSTER MD
21157-6196
US

IV. Provider business mailing address

332 140 VILLAGE RD STE 4
WESTMINSTER MD
21157-6196
US

V. Phone/Fax

Practice location:
  • Phone: 410-848-8229
  • Fax:
Mailing address:
  • Phone: 410-848-8229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH GREIG-MOORE
Title or Position: DENTIST
Credential: DDS
Phone: 410-848-8229