Moore, Martin Joseph

Moore, Martin Joseph is an individual health care provider with primary practice located at 6961 Burlington Pike , Florence KY 41042. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is his primary health care specialty. Moore, Martin Joseph can be contacted via phone (859) 371-4422.

Contact Information

Primary practice address
6961 Burlington Pike Florence KY 41042
Phone: (859) 371-4422
Fax: (859) 282-5482
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6108 Kentucky
Dental Providers / Dentist 122300000X 6108 Kentucky

Profile Details

NPI number 1225306483
LBN Legal business name Moore, Martin Joseph
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2011
Last updated Mar 4th, 2020 - about 5 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 1225306483 NPPES
Kentucky MEDICAID 60061082

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