Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN BRENT MOORE, DMD
ActiveMR. KEVIN BRENT MOORE, DMD is a Dentist healthcare provider located in GARRETT, Kentucky. NPI 1225199706 is currently active in the NPPES registry. Verify at CMS.
Dentist · GARRETT, KY
Registration Details
- NPI Number
- 1225199706
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2006 (19.670036473419 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7061 (KY)
Practice Information
- Address
-
95 STONECOAL ROADGARRETT, KY, 41630Browse KY providers · Browse ZIP 41630
- Phone
- 6063589135
- Fax
- 6063580005
- Primary Specialty
-
Dentist
122300000X
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.