Moore, Alisa O
Moore, Alisa O is an individual health care provider with primary practice located at 2440 Fairburn Rd Sw Suite 301, Atlanta GA 30331-5256. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Moore, Alisa O can be contacted via phone (404) 349-7777.Contact Information
Primary practice address
2440 Fairburn Rd Sw Suite 301
Atlanta GA 30331-5256
Phone: (404) 349-7777
Fax: (404) 349-8459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 10731 | Georgia |
Profile Details
| NPI number | 1770674806 |
|---|---|
| LBN Legal business name | Moore, Alisa O |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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