Moores, Jack Frank

Moores, Jack Frank is an individual health care provider with primary practice located at 42051 Mound Rd , Sterling Heights MI 48314-3143. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Moores, Jack Frank can be contacted via phone (586) 323-7700.

Contact Information

Primary practice address
42051 Mound Rd Sterling Heights MI 48314-3143
Phone: (586) 323-7700
Fax: (586) 323-7707
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901016423 Michigan

Profile Details

NPI number 1003996760
LBN Legal business name Moores, Jack Frank
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 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 1003996760 NPPES
Michigan MEDICAID 3111522

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