Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WELTON RANDOLPH MOORE, DDS
ActiveWELTON RANDOLPH MOORE, DDS is a Dentist healthcare provider located in STANTON, Texas. NPI 1497870299 is currently active in the NPPES registry. Verify at CMS.
Dentist · STANTON, TX
Registration Details
- NPI Number
- 1497870299
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2007 (19.397797425467 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11203 (TX)
Practice Information
- Address
-
1105 W BROADWAYSTANTON, TX, 79782Browse TX providers · Browse ZIP 79782
- Phone
- 4327563231
- Fax
- 4327562795
- 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.