Moore, Jr, James Peyton

Moore, Jr, James Peyton is an sole proprietor health care provider with primary practice located at 101 Cleveland Ave E-5, Martinsville VA 24112-3700. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moore, Jr, James Peyton can be contacted via phone (276) 632-3963.

Contact Information

Primary practice address
101 Cleveland Ave E-5 Martinsville VA 24112-3700
Phone: (276) 632-3963
Fax: (276) 638-3204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401006886 Virginia

Profile Details

NPI number 1609910173
LBN Legal business name Moore, Jr, James Peyton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 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 1609910173 NPPES
Virginia Other 0401006886 LICENSE #

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