Moore, John Thomas

Moore, John Thomas 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, John Thomas can be contacted via phone (304) 343-7121.

Contact Information

Primary practice address
420 Virginia St W Charleston WV 25302-2008
Fax: (304) 343-3323
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2921 West Virginia

Profile Details

NPI number 1841413549
LBN Legal business name Moore, John Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841413549 NPPES
West Virginia MEDICAID 0133287000

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