Moore, Dillon Raymond
Moore, Dillon Raymond is an individual health care provider with primary practice located at 39 East Ave , Pawtucket RI 02860-4003. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is his primary health care specialty. Moore, Dillon Raymond can be contacted via phone (401) 722-0081.Contact Information
Primary practice address
39 East Ave
Pawtucket RI 02860-4003
Phone: (401) 722-0081
Fax: (401) 312-0318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DEN03598 | Rhode Island |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1316529332 |
|---|---|
| LBN Legal business name | Moore, Dillon Raymond |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2021 |
| Last updated | Jul 18th, 2022 - about 3 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 | 1316529332 | NPPES |
| Rhode Island | Other | DEN03598 | RI STATE LICENSE |
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