Moore, James Lee

Moore, James Lee is an individual health care provider with primary practice located at 3929 S Highway 14 , Greenville SC 29615-6138. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Moore, James Lee can be contacted via phone (864) 281-9119.

Contact Information

Primary practice address
3929 S Highway 14 Greenville SC 29615-6138
Phone: (864) 281-9119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30-03338 South Carolina

Profile Details

NPI number 1457457913
LBN Legal business name Moore, James Lee
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457457913 NPPES
South Carolina MEDICAID ZX3338

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