Moore, Jack Lowell
Moore, Jack Lowell is an individual health care provider with primary practice located at 700 Sunrise Avenue Suite C, Roseville CA 95661-4561. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Moore, Jack Lowell can be contacted via phone (916) 782-1209.Contact Information
Primary practice address
700 Sunrise Avenue Suite C
Roseville CA 95661-4561
Phone: (916) 782-1209
Fax: (916) 782-1770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 17346 | California |
Profile Details
| NPI number | 1982890331 |
|---|---|
| LBN Legal business name | Moore, Jack Lowell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2007 |
| Last updated | Sep 19th, 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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