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

DR. JACK LOWELL MOORE, DDS

Active

DR. JACK LOWELL MOORE, DDS is a Pediatric Dentistry healthcare provider located in ROSEVILLE, California. NPI 1982890331 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · ROSEVILLE, CA

Registration Details

NPI Number
1982890331
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2007 (18.865984421609 yrs)
Last Updated
Sep 19, 2007
License
17346 (CA)

Practice Information

Address
700 SUNRISE AVENUE
SUITE C
ROSEVILLE, CA, 956614561
Browse CA providers · Browse ZIP 95661
Phone
9167821209
Fax
9167821770
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in ROSEVILLE, CA

Name Credential NPI
DR. LINDA PATRICIA RAFFERTY D.D.S. 1366448524
MRS. JOELLE C SPEED DDS 1295949469
MRS. LORA M FOSTER DDS 1124221379
MRS. KATHRYN ANN MOORE DDS 1326242348
MRS. SYDNEY J MOORE DDS 1184828113
DR. CASSANDRA KRUPANSKY DDS, MS 1760710834
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.