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General NPI Number Information
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NPI Number | 1588532170
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Entity Type | Organization
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Legal Business Name | MATTHEW MOREE DMD, LLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 207 E JACKSON ST
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City | THOMASVILLE
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State | GA
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Zip | 31792-5104
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Country | US
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Telephone | 229-233-7791
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Fax |
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Provider Business Mailing Address
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Address Line | 207 E JACKSON ST
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City | THOMASVILLE
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State | GA
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Zip | 31792-5104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MATTHEW ALAN MOREE
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Credential | DMD
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Telephone | 229-869-0622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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