Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BRENDA MOORE, RDH
ActiveDental Hygienist · FORT POLK, LA
Registration Details
- NPI Number
- 1952806986
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2018 (8.0709853004006 yrs)
- Last Updated
- Mar 30, 2018
- License
-
DENH966 (AK)
Practice Information
- Address
-
7223 MISSISSIPPI AVE BUILDING 2157FORT POLK, LA, 71459Browse LA providers · Browse ZIP 71459
- Phone
- 3375314854
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in FORT POLK, LA
| Name | Credential | NPI |
|---|---|---|
| JOY MARTIN | — | 1346691888 |
| KIM EDWARDS | — | 1427409945 |
| SANDRA THOMPSON | — | 1013368562 |
| PATRICK MUNCY | — | 1184076820 |
| MINDY BOLINE | RDH | 1528712775 |
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.