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R DAN MOORE DDS MD ORAL AND FACIAL SURGERY NPI 1609001676


NPI Information

NPI: 1609001676
Provider Name: R DAN MOORE DDS MD ORAL AND FACIAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
24 PENN PLZ
BANGOR, ME
ZIP 04401
Phone: (207) 947-6146
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R DAN MOORE DDS MD ORAL AND FACIAL SURGERY is an oral and maxillofacial surgery dentist in Bangor, ME. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. R DAN MOORE DDS MD ORAL AND FACIAL SURGERY NPI is 1609001676. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24 PENN PLZ
BANGOR, ME
ZIP 04401-620
Phone: (207) 947-6146
Fax: (207) 947-5237

The provider's authorized official is Robert Dan Moore .
The authorized official title is Doctor and has the following contact phone number (207) 947-6146.

The enumeration date for this NPI number is 5/20/2009 and was last updated on 7/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist3658MAINENo
21223S0112XDentistOral and Maxillofacial Surgery3658MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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