Moore, Patrick Brett

Moore, Patrick Brett is an sole proprietor health care provider with primary practice located at 6340 N Chatham Ave , Kansas City MO 64151-2473. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Moore, Patrick Brett can be contacted via phone (816) 746-1171.

Contact Information

Primary practice address
6340 N Chatham Ave Kansas City MO 64151-2473
Fax: (816) 746-1171
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2005019138 Missouri
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2005019138 Missouri

Profile Details

NPI number 1497789036
LBN Legal business name Moore, Patrick Brett
Credentials DDS, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Sep 30th, 2016 - about 8 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 1497789036 NPPES
Kansas Other 61071 KANSAS DENTAL LICENSE

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