Moore, Dod David

Moore, Dod David is an individual health care provider with primary practice located at 10104 Saddle Creek Rd , Waco TX 76708. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Moore, Dod David can be contacted via phone (254) 836-9595.

Contact Information

Primary practice address
10104 Saddle Creek Rd Waco TX 76708
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22305 Texas

Profile Details

NPI number 1952429367
LBN Legal business name Moore, Dod David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Mar 26th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952429367 NPPES
Texas Other G60270-01 DELTA DENTAL CHIPS

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