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NPI Code Detail

MEDICARE: CURTIS R. MOORE, D.M.D. P.A.

MEDICARE: CURTIS R. MOORE, D.M.D. P.A.
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
11223G0001XGeneral Practice DentistryDN 3605FL

General Provider Information

NPI Number : 1598017873
Entity Type Code : Organization
Provider Name (Legal Business Name) : CURTIS R. MOORE, D.M.D. P.A.
Provider Business Mailing Address
First Line : 6025 MEMORIAL HWY
Second Line :
City : TAMPA
State : FL
Zip : 33615-4531
Country : US
Telephone Number : 813-886-2527
Fax Number : 813-887-3225
Provider Business Practice Location Address
First Line : 6025 MEMORIAL HWY
Second Line :
City : TAMPA
State : FL
Zip : 33615-4531
Country : US
Telephone Number : 813-886-2527
Fax Number : 813-887-3225
Authorized Official
Title or Position : DOCTOR
Name : CHARLES WILLIAM MOORE
Credential : D.M.D.
Telephone Number : 813-886-2527
Provider Enumeration Date : 10/10/2012
Last Update Date : 10/10/2012

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