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Dr. Brent William Moore, DDS
General Practice Dentistry in Fairfield, Texas
NPI 1104917178

Brent William Moore is a General Practice Dentistry based in Fairfield, TX and is specialized in General Practice. Brent William Moore practices in Fairfield, TX and has the professional credentials of DDS. The NPI Number for Brent William Moore is 1104917178 and holds a License No. 16589 (Texas).

The current practice location address for Brent William Moore is 764 W Commerce St, Fairfield, TX and can be reached out via phone at 903-389-4151.

Location: 764 W Commerce St, Fairfield, TX, 75840-1428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104917178
Provider Name
Brent William Moore
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
764 W Commerce St, Fairfield, TX, 75840-1428
Phone Number
903-389-4151
Fax Number
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
764 W Commerce St
City
Fairfield
State
Texas
Zip
75840-1428
Phone Number
903-389-4151
Fax Number
person
Provider Business Mailing Address Details
Address
764 W Commerce St
City
Fairfield
State
Texas
Zip
75840-1428
Phone Number
903-389-4151
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
16589 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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