Active NPIIndividual provider

Dr. Kimberly A Moore, DDS

Dentist in Sisseton, South Dakota

NPI Number1538343421
Practice location
100 Lake Traverse Dr, Sisseton, SD 57262-7046
Fax
—
Last updated
March 21, 2019

Kimberly Ann Moore is a Dentist based in Sisseton, SD. Kimberly Ann Moore practices in Sisseton, SD and has the professional credentials of DDS. The NPI Number for Kimberly Ann Moore is 1538343421 and holds a License No. 917 (VI). The current practice location address for Kimberly Ann Moore is 100 Lake Traverse Dr, Sisseton, SD 57262-7046 and can be reached out via phone at 605-698-7606.

Provider Profile Details

NPI Number
1538343421
Provider Name
Kimberly Ann Moore
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
100 Lake Traverse Dr, Sisseton, SD 57262-7046
Phone Number
605-698-7606
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
December 27, 2007
Last Update Date
March 21, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Zip
57262-7046
Phone Number
605-698-7606
Sisseton, SD 57262Get directions →

Provider Business Mailing Address Details

Address
8248 Plantation Manor Building 53 Papaya
St. Thomas, VI 00802
City
St. Thomas
State
VI
Zip
00802
Phone Number
561-346-1027

License Information

License Number
917
License State
VI
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kimberly A Moore, DDS?

The NPI number of Dr. Kimberly A Moore, DDS is 1538343421. It was assigned on December 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Kimberly A Moore, DDS?

Dr. Kimberly A Moore, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in VI under license number 917.

Where does Dr. Kimberly A Moore, DDS practice?

The practice location is 100 Lake Traverse Dr, Sisseton, SD 57262-7046. The office can be reached at 605-698-7606 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538343421 directly on the NPPES registry website.

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