Dental Development Center

LBN: Moore Dental Services, Inc
Dental Development Center is an health care organization with primary practice located at 59 Cavalier Blvd 300, Florence KY 41042. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is the primary health care specialty. Moore Dental Services, Inc can be contacted via phone (859) 525-0507, or through Moore, Martin Joseph via phone (859) 371-4422.

Contact Information

Primary practice address
59 Cavalier Blvd 300 Florence KY 41042
Phone: (859) 525-0507
Fax: (859) 525-0610
Website:
Map and Directions
Authorized official contact:
Name: Moore, Martin Joseph
Phone: (859) 371-4422

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1205968120
LBN Legal business name Moore Dental Services, Inc
DBA Doing business as Dental Development Center
Authorized official Moore, Martin Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Jan 19th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205968120 NPPES
Kentucky MEDICAID 1225306483

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