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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053452250 | NPPES |
| Nevada | MEDICAID | 1053452250 | |
| Nevada | MEDICAID | 002018572 |
Popular Providers
-
Kiepert, Mary
2810 S Jones Blvd Ste 1, Las Vegas NV 89146-5649 -
Smith, Robert Keith
1800 W. Charleston Blvd. , Las Vegas NV 89102 -
Shepherd, Claricia Simmons
1799 Mount Mariah Dr , Las Vegas NV 89106-1501 -
Sellers, Tricia L
2704 N Tenaya Way , Las Vegas NV 89128-0424 -
Tuggle, Julie
4475 S Eastern , Las Vegas NV 89119 -
Tacvorian, Arpine
2650 N Tenaya Way Ste 301 , Las Vegas NV 89128 -
Ezhuthachan, Rutu S
4475 S Eastern Ave , Las Vegas NV 89119-7826 -
Downey, William L.
10105 Banburry Cross Dr Suite 370, Las Vegas NV 89144-6646