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Dr. Shannon Kenneth Moore, DMDMSED
Dentist in Bloomington, Indiana
NPI 1194855205

Shannon Kenneth Moore is a Dentist based in Bloomington, IN. Shannon Kenneth Moore practices in Bloomington, IN and has the professional credentials of DMDMSED. The NPI Number for Shannon Kenneth Moore is 1194855205 and holds a License No. 12010311A (Indiana).

The current practice location address for Shannon Kenneth Moore is 2815 N Walnut Street, Bloomington, IN and can be reached out via phone at 812-332-1405 and via fax at 812-332-4331. You can also correspond with Shannon Kenneth Moore through the mailing address at 2815 N WALNUT STREET, BLOOMINGTON, IN - 47404-2077 (mailing address contact number: 812-332-1405).

Location: 2815 N Walnut Street, Bloomington, IN, 47404-2077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194855205
Provider Name
Shannon Kenneth Moore
Credential
DMDMSED
Provider Entity Type
Individual
Gender
Male
Address
2815 N Walnut Street, Bloomington, IN, 47404-2077
Phone Number
812-332-1405
Fax Number
812-332-4331
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200326230 05 IN
institution
Provider Business Practice Location Address Details
Address
2815 N Walnut Street
City
Bloomington
State
Indiana
Zip
47404-2077
Phone Number
812-332-1405
Fax Number
812-332-4331
person
Provider Business Mailing Address Details
Address
2815 N Walnut Street
City
Bloomington
State
Indiana
Zip
47404-2077
Phone Number
812-332-1405
Fax Number
812-332-4331
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
12010311A (Indiana)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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