Moore, Dennis
Moore, Dennis is an sole proprietor health care provider with primary practice located at 650 N Nellis Blvd , Las Vegas NV 89110-5382. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Moore, Dennis can be contacted via phone (702) 641-3212.Contact Information
Primary practice address
650 N Nellis Blvd
Las Vegas NV 89110-5382
Phone: (702) 641-3212
Fax: (702) 459-0320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | NV 9907 | Nevada |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9907 | Nevada |
Profile Details
| NPI number | 1053452250 |
|---|---|
| LBN Legal business name | Moore, Dennis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Aug 25th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053452250 | NPPES |
| Nevada | MEDICAID | 1053452250 | |
| Nevada | MEDICAID | 002018572 |
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