Moore, Jeffrey Parker

Moore, Jeffrey Parker is an individual health care provider with primary practice located at 420 Virginia St W , Charleston WV 25302-2008. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moore, Jeffrey Parker can be contacted via phone (304) 343-7121.

Contact Information

Primary practice address
420 Virginia St W Charleston WV 25302-2008
Phone: (304) 343-7121
Fax: (304) 343-3323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2902 West Virginia

Profile Details

NPI number 1548487705
LBN Legal business name Moore, Jeffrey Parker
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548487705 NPPES
West Virginia MEDICAID 0133320000
West Virginia Other 795741

Popular Providers