Moore, William Jeffrey

Moore, William Jeffrey is an sole proprietor health care provider with primary practice located at 1010 Jefferson St , Red Bluff CA 96080-2726. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moore, William Jeffrey can be contacted via phone (530) 527-7800.

Contact Information

Primary practice address
1010 Jefferson St Red Bluff CA 96080-2726
Phone: (530) 527-7800
Fax: (530) 527-6178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 035951 California

Profile Details

NPI number 1689688350
LBN Legal business name Moore, William Jeffrey
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jun 11th, 2009 - about 16 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 1689688350 NPPES
California Other 035951 CALIFORNIA DENTAL LICENSE
California Other 182850109 CALIFORNIA DENTAL LICENSE

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