Moore, Dennis

Moore, Dennis is an sole proprietor health care provider with primary practice located at 650 N Nellis Blvd , Las Vegas NV 89110-5382. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Moore, Dennis can be contacted via phone (702) 641-3212.

Contact Information

Primary practice address
650 N Nellis Blvd Las Vegas NV 89110-5382
Phone: (702) 641-3212
Fax: (702) 459-0320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X NV 9907 Nevada
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9907 Nevada

Profile Details

NPI number 1053452250
LBN Legal business name Moore, Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Aug 25th, 2021 - about 4 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 1053452250 NPPES
Nevada MEDICAID 1053452250
Nevada MEDICAID 002018572

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