Moore, Steve A
Moore, Steve A is an individual health care provider with primary practice located at 960 A Lakes Pkwy , Lawrenceville GA 30043. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Moore, Steve A can be contacted via phone (770) 513-4555.Contact Information
Primary practice address
960 A Lakes Pkwy
Lawrenceville GA 30043
Phone: (770) 513-4555
Fax: (770) 513-2311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 010275 | Georgia |
Profile Details
| NPI number | 1487602801 |
|---|---|
| LBN Legal business name | Moore, Steve A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1487602801 | NPPES |
| Georgia | MEDICAID | 00324409B |
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