MEDICARE: DR. MICHAEL MARCUS MOORE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	966	NV

General Provider Information

NPI Number	:	1477681922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL MARCUS MOORE DDS

Provider Business Mailing Address
First Line	:	8409 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7638
Country	:	US
Telephone Number	:	702-254-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	8409 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7638
Country	:	US
Telephone Number	:	702-254-6700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1194120253 — INDIVIDUALIZED INTERNAL MEDICINE
Practice Location Address:

8463 W LAKE MEAD BLVD
LAS VEGAS, NV
89128-7638

Practice Phone: 702-304-0854
Practice Fax: 702-256-2821

1508898768 — DR. SHAMINI K PANIKKAR M.D.
Practice Location Address:

8463 W LAKE MEAD BLVD
LAS VEGAS, NV
89128-7638

Practice Phone: 702-304-0854
Practice Fax: 702-256-2821

1740208834 — MR. ROBERT K WHITE M.D.
Practice Location Address:

8463 W LAKE MEAD BLVD
LAS VEGAS, NV
89128-7638

Practice Phone: 702-304-0854
Practice Fax: 702-256-2821

1407875727 — DR. STEPHEN DAVID MOORE D.D.S.
Practice Location Address:

8409 W LAKE MEAD BLVD
LAS VEGAS, NV
89128-7638

Practice Phone: 702-254-6700
Practice Fax:

1801998307 — ROBERT K WHITE PC
Practice Location Address:

8463 W LAKE MEAD BLVD
LAS VEGAS, NV
89128-7638

Practice Phone: 702-304-0854
Practice Fax: 702-256-2821

1538298534 — MOORE FAMILY DENTISTRY
Practice Location Address:

8409 W LAKE MEAD BLVD
LAS VEGAS, NV
89128-7638

Practice Phone: 702-254-6700
Practice Fax: 702-254-9437

Directions to “ DR. MICHAEL MARCUS MOORE DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.