Moore, Jeffrey Parker
Moore, Jeffrey Parker is an individual health care provider with primary practice located at 420 Virginia St W , Charleston WV 25302-2008. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moore, Jeffrey Parker can be contacted via phone (304) 343-7121.Contact Information
Primary practice address
420 Virginia St W
Charleston WV 25302-2008
Phone: (304) 343-7121
Fax: (304) 343-3323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2902 | West Virginia |
Profile Details
| NPI number | 1548487705 |
|---|---|
| LBN Legal business name | Moore, Jeffrey Parker |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1548487705 | NPPES |
| West Virginia | MEDICAID | 0133320000 | |
| West Virginia | Other | 795741 |
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