Dr. Charles Andrew Moore, DMD
Dentist in Stone Mountain, GA. Individual provider (NPI-1).
NPI number1245302918
StatusActive
Last updated in NPPESOct 27, 2008
Details
- NPI
- 1245302918
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Andrew Moore
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2006
- Last updated
- Oct 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN008787 | GA | Yes |
Practice location
5462 Memorial DrStone Mountain, GA 30083-3239
Phone 404-299-0022
Mailing address
5390 Fontenoy CtNorcross, GA 30071-4700
Phone 770-840-9889
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All 21 Dentist providers in Stone Mountain · All 1,438 providers in Stone Mountain
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