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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOUGLAS WILLIAM MOORE, DDS

Deactivated

DR. DOUGLAS WILLIAM MOORE, DDS is a Dentist healthcare provider located in OSKALOOSA, Iowa. NPI 1578621363 is deactivated in the NPPES registry. Verify at CMS.

Dentist · OSKALOOSA, IA

This NPI has been deactivated. The record was deactivated on January 11, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1578621363
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2006 (0.1013698630137 yrs)
Last Updated
May 17, 2012
Deactivated
Jan 11, 2007
License
07236 (IA)

Practice Information

Address
1011 A AVE W
OSKALOOSA, IA, 525770228
Browse IA providers · Browse ZIP 52577
Phone
6416739411
Fax
6416739411
Primary Specialty
Dentist
122300000X

Other Dentist Providers in OSKALOOSA, IA

Name Credential NPI
DR. THOMAS JEFFREY BOWIE DDS 1558378836
DR. DANIEL JOHN SCHUSTER D.D.S. 1013081850
JOHN ROHLOFF 1124248489
DR. TIMOTHY PATRICK JONES D.D.S 1679890578
DR. KARA LYNN WEISHAAR D.D.S. 1073954566
STACI FRIESE DDS 1780090563
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.