Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
M JUSTIN MOORE, DMD MS
ActiveM JUSTIN MOORE, DMD MS is a Orthodontics healthcare provider located in SOLDOTNA, Alaska. NPI 1477664712 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · SOLDOTNA, AK
Registration Details
- NPI Number
- 1477664712
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.914781921204 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AA618 (AK)
Practice Information
- Address
-
112 N BINKLEY STSOLDOTNA, AK, 99669Browse AK providers · Browse ZIP 99669
- Phone
- 9072629425
- Fax
- 9072626604
- Primary Specialty
-
Orthodontics
1223X0400X
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.