person
Dr. Shane L Moore, DDS
Pediatric Dentist in Amarillo, Texas
NPI 1538233622

Shane L Moore is a Pediatric Dentist based in Amarillo, TX and is specialized in Pediatric Dentistry. Shane L Moore practices in Amarillo, TX and has the professional credentials of DDS. The NPI Number for Shane L Moore is 1538233622 and holds a License No. 18661 (Texas).

The current practice location address for Shane L Moore is 2455 W Interstate 40, Amarillo, TX and can be reached out via phone at 806-350-5437 and via fax at 806-350-5438. You can also correspond with Shane L Moore through the mailing address at 2455 W INTERSTATE 40, AMARILLO, TX - 79109-1852 (mailing address contact number: 806-350-5437).

Location: 2455 W Interstate 40, Amarillo, TX, 79109-1852
person
Provider Profile Details
NPI Number
1538233622
Provider Name
Shane L Moore
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2455 W Interstate 40, Amarillo, TX, 79109-1852
Phone Number
806-350-5437
Fax Number
806-350-5438
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1420292 01 TX UNITED CONCORDIA
89D745 01 TX BLUECROSSBLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2455 W Interstate 40
City
State
Zip
79109-1852
Phone Number
806-350-5437
Fax Number
806-350-5438
person
Provider Business Mailing Address Details
Address
2455 W Interstate 40
City
State
Zip
79109-1852
Phone Number
806-350-5437
Fax Number
806-350-5438
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
18661 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Amarillo, Texas: