Active NPIIndividual provider

Dr. Kryste Avery-Moore

Dentist in Newark, New Jersey

NPI Number1588787782
Practice location
110 William St, Room 111, Newark, NJ 07102-1304
Fax
—
Last updated
March 18, 2013

Kryste Avery-Moore is a Dentist based in Newark, NJ. Kryste Avery-Moore practices in Newark, NJ. The NPI Number for Kryste Avery-Moore is 1588787782 and holds a License No. 22DI101843100 (NJ). The current practice location address for Kryste Avery-Moore is 110 William St, Room 111, Newark, NJ 07102-1304 and can be reached out via phone at 973-733-7590.

Provider Profile Details

NPI Number
1588787782
Provider Name
Kryste Avery-Moore
Provider Entity Type
Individual
Gender
Female
Address
110 William St, Room 111, Newark, NJ 07102-1304
Phone Number
973-733-7590
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
April 10, 2007
Last Update Date
March 18, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 William St
Room 111
Newark, NJ 07102-1304
City
Newark
Zip
07102-1304
Phone Number
973-733-7590
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
110 William St
Room 111
Newark, NJ 07102-1304
City
Newark
State
NJ
Zip
07102-1304
Phone Number
973-733-7590

License Information

License Number
22DI101843100
License State
NJ
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. Kryste Avery-Moore?

The NPI number of Dr. Kryste Avery-Moore is 1588787782. It was assigned on April 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Kryste Avery-Moore?

Dr. Kryste Avery-Moore is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI101843100.

Where does Dr. Kryste Avery-Moore practice?

The practice location is 110 William St, Room 111, Newark, NJ 07102-1304. The office can be reached at 973-733-7590 (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 1588787782 directly on the NPPES registry website.

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