Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA MARIE MOORE, DDS
ActiveDR. LISA MARIE MOORE, DDS is a Pediatric Dentistry healthcare provider located in SOUTH BEND, Indiana. NPI 1407875891 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SOUTH BEND, IN
Registration Details
- NPI Number
- 1407875891
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2006 (20.034463818737 yrs)
- Last Updated
- Jul 9, 2007
- License
-
12009706 (IN)
Practice Information
- Address
-
1005 E LASALLE AVESOUTH BEND, IN, 466172818Browse IN providers · Browse ZIP 46617
- Phone
- 5742457501
- Fax
- 5742457502
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID FRANCIS FISHBAUGH | DDS, MS | 1750331229 |
| CHARLES ROSENBAUM | D.D.S. | 1083645774 |
| DR. GARY R. PIPPENGER | DDS | 1568481950 |
| DR. ROBERT S. AUSTGEN | DDS | 1033138482 |
| DR. DOUGLAS H. BARTON | DDS | 1831118280 |
| DR. RICHARD COHEN | DDS | 1003835489 |
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.