Moore, Edith
Moore, Edith is an individual health care provider with primary practice located at 37944 Church Ave , Dade City FL 33525. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Moore, Edith can be contacted via phone (352) 518-2000.Contact Information
Primary practice address
37944 Church Ave
Dade City FL 33525
Phone: (352) 518-2000
Fax: (352) 518-0218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN10803 | Florida |
Profile Details
| NPI number | 1386613578 |
|---|---|
| LBN Legal business name | Moore, Edith |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | May 23rd, 2008 - about 18 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 | 1386613578 | NPPES |
| Florida | MEDICAID | 077641601 |
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