Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DENNIS MOORE, M.D.
Active Sole ProprietorDENNIS MOORE, M.D. is a Pediatrics healthcare provider located in GRANDVIEW, Washington. NPI 1053452250 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GRANDVIEW, WA
Registration Details
- NPI Number
- 1053452250
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2007 (19.550487524132 yrs)
- Last Updated
- Aug 1, 2024
- Licenses
-
9907 (NV)NV 9907 (NV)MD61499857 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1003 WALLACE WAYGRANDVIEW, WA, 989308805Browse WA providers · Browse ZIP 98930
- Phone
- 5092031080
- Fax
- 5092031077
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Adolescent Medicine (Pediatrics)
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in GRANDVIEW, WA
| Name | Credential | NPI |
|---|---|---|
| THATCHER THOMAS HARLAN FELT | — | 1093713059 |
| TAMERA SCHILLE | — | 1902992100 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.