Moore, Fredric A
Moore, Fredric A is an individual health care provider with primary practice located at 514 W Bankhead Hwy Ste 600 , Villa Rica GA 30180-1739. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Moore, Fredric A can be contacted via phone (770) 456-2550.Contact Information
Primary practice address
514 W Bankhead Hwy Ste 600
Villa Rica GA 30180-1739
Phone: (770) 456-2550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN010414 | Georgia |
Profile Details
| NPI number | 1346630712 |
|---|---|
| LBN Legal business name | Moore, Fredric A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2015 |
| Last updated | Jan 23rd, 2015 - about 10 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 | 1346630712 | NPPES |
| Other | 1366652174 | NPI FOR FREDRIC A MOORE, DMD, PC (ORGANIZATION) |
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