Moore, Randall
Moore, Randall is an sole proprietor health care provider with primary practice located at 141 Milbank Ave , Greenwich CT 06830-6616. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Moore, Randall can be contacted via phone (203) 869-3377.Contact Information
Primary practice address
141 Milbank Ave
Greenwich CT 06830-6616
Phone: (203) 869-3377
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 010308 | Connecticut |
Profile Details
| NPI number | 1013386945 |
|---|---|
| LBN Legal business name | Moore, Randall |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2015 |
| Last updated | Sep 22nd, 2015 - about 9 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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