Dr. Barbara Allison Moore, DMD
Dentist in Tega Cay, SC. Individual provider (NPI-1).
NPI number1902472012
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1902472012
- Entity type
- Individual (NPI-1)
- Name
- Dr. Barbara Allison Moore
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 29, 2021
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 9961 | SC | Yes |
Practice location
1147 Stonecrest Blvd Ste 105Tega Cay, SC 29708-6606
Phone 803-547-6000
Mailing address
1562 Mill Spring Dr Apt G04Fort Mill, SC 29715-4544
Phone 803-235-2182
Other practice locations
140 Highway 274
Clover, SC 29710-6045
Clover, SC 29710-6045
Phone 803-752-0565
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