Moore, Whitney Monet
Moore, Whitney Monet is an individual health care provider with primary practice located at 3232 E Fall Creek Parkway North Dr , Indianapolis IN 46205-3858. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Moore, Whitney Monet can be contacted via phone (317) 513-8669.Contact Information
Primary practice address
3232 E Fall Creek Parkway North Dr
Indianapolis IN 46205-3858
Phone: (317) 513-8669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12010224A | Indiana |
| Dental Providers / General Practice | 1223G0001X | 30-022597 | Ohio |
Profile Details
| NPI number | 1013987114 |
|---|---|
| LBN Legal business name | Moore, Whitney Monet |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Nov 18th, 2020 - about 5 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 | 1013987114 | NPPES |
| Indiana | MEDICAID | 200275740 |
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