Moore, Marlon K
Moore, Marlon K is an sole proprietor health care provider with primary practice located at 1776 Eastchester Rd Ste 230 , Bronx NY 10461-2335. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Moore, Marlon K can be contacted via phone (718) 518-1776.Contact Information
Primary practice address
1776 Eastchester Rd Ste 230
Bronx NY 10461-2335
Phone: (718) 518-1776
Fax: (718) 918-1776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 045968 | New York |
Profile Details
| NPI number | 1467563262 |
|---|---|
| LBN Legal business name | Moore, Marlon K |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 20th, 2024 - about 9 months 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 | 1467563262 | NPPES |
| New York | MEDICAID | 01815892 |
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