Moore, Joe Allen

Moore, Joe Allen is an individual health care provider with primary practice located at 206 Mayes Ave , Sweetwater TN 37874. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moore, Joe Allen can be contacted via phone (423) 337-5045.

Contact Information

Primary practice address
206 Mayes Ave Sweetwater TN 37874
Phone: (423) 337-5045
Fax: (423) 337-5044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS2299 Tennessee

Profile Details

NPI number 1568537868
LBN Legal business name Moore, Joe Allen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568537868 NPPES
Tennessee Other 0020476 BLUE CROSS BLUE SHIELD

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