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Dr. Dillon Raymond Moore, DDS
Student in an Organized Health Care Education/Training Program in Pawtucket, Rhode Island
NPI 1316529332

Dillon Raymond Moore is a Student in an Organized Health Care Education/Training Program based in Pawtucket, RI. Dillon Raymond Moore practices in Pawtucket, RI and has the professional credentials of DDS. The NPI Number for Dillon Raymond Moore is 1316529332 and holds a License No. DEN03598 (Rhode Island).

The current practice location address for Dillon Raymond Moore is 39 East Ave, Pawtucket, RI and can be reached out via phone at 401-722-0081 and via fax at 401-312-0318.

Location: 39 East Ave, Pawtucket, RI, 02860-4003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316529332
Provider Name
Dillon Raymond Moore
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
39 East Ave, Pawtucket, RI, 02860-4003
Phone Number
401-722-0081
Fax Number
401-312-0318
Provider Enumeration Date
04/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DEN03598 01 RI RI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
39 East Ave
City
Pawtucket
State
Rhode Island
Zip
02860-4003
Phone Number
401-722-0081
Fax Number
401-312-0318
person
Provider Business Mailing Address Details
Address
39 East Ave
City
Pawtucket
State
Rhode Island
Zip
02860-4003
Phone Number
401-722-0081
Fax Number
401-312-0318
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DEN03598 (Rhode Island)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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