Moore, Regan L
Moore, Regan L is an sole proprietor health care provider with primary practice located at 501 S Preston St , Louisville KY 40292-0001. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Moore, Regan L can be contacted via phone (502) 852-5128.Contact Information
Primary practice address
501 S Preston St
Louisville KY 40292-0001
Phone: (502) 852-5128
Fax: (502) 852-7163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 5947 | Kentucky |
Profile Details
| NPI number | 1093853095 |
|---|---|
| LBN Legal business name | Moore, Regan L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093853095 | NPPES |
| Other | 9179124 | DORAL DENTAL | |
| MEDICAID | 6003670 | DORAL DENTAL |
Popular Providers
-
Vidal Gonzalez, Ricardo L
118 Sears Ave , Louisville KY 40207-5014 -
Olson, John W
University Of Louisville School Of Dentistry 501 S. Preston St., Louisville KY 40292 -
Hamburg, Harold Elliott
4122 Shelbyville Rd Suite D, Louisville KY 40207 -
Burton, Robert Buchanan
1941 Bishop Ln Suite 506, Louisville KY 40218-1922 -
Papageorgakopoulos, Georgios
501 S Preston St , Louisville KY 40292-0001 -
Bauman, Carl N.
10228 Shelbyville Rd , Louisville KY 40223-2978 -
Albright, Gregory J.
4010 Dupont Cir Suite 524, Louisville KY 40207-4812 -
Dib, Ziad
501 S Preston Room 236, Louisville KY 40292-0001