Moore, David Dwight

Moore, David Dwight is an individual health care provider with primary practice located at 235 N San Mateo Dr Suite 400, San Mateo CA 94401-2621. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Moore, David Dwight can be contacted via phone (650) 340-0225.

Contact Information

Primary practice address
235 N San Mateo Dr Suite 400 San Mateo CA 94401-2621
Phone: (650) 340-0225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Endodontics 1223E0200X 59684 California

Profile Details

NPI number 1225204407
LBN Legal business name Moore, David Dwight
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated Sep 3rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225204407 NPPES
Minnesota Other R394 RESIDENT PERMIT

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