Dr. Byron Patrick Moore, D.D.S.
Dentist, General Practice in Evansville, IN. Individual provider (NPI-1).
NPI number1245303577
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245303577
- Entity type
- Individual (NPI-1)
- Name
- Dr. Byron Patrick Moore
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12010628 | IN | Yes |
Practice location
903 N Park DrEvansville, IN 47710-3629
Phone 812-424-3368
Mailing address
903 N Park DrEvansville, IN 47710-3629
Phone 812-424-3368
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All 86 General Practice Dentistry providers in Evansville · All 5,513 providers in Evansville
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