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Dr. John Gregory Moore, DDS
General Practice Dentistry in Bridgeport, West Virginia
NPI 1720165954

John Gregory Moore is a General Practice Dentistry based in Bridgeport, WV and is specialized in General Practice. John Gregory Moore practices in Bridgeport, WV and has the professional credentials of DDS. The NPI Number for John Gregory Moore is 1720165954 and holds a License No. 2794 (West Virginia).

The current practice location address for John Gregory Moore is 1160 Johnson Ave, Bridgeport, WV and can be reached out via phone at 304-842-2361.

Location: 1160 Johnson Ave, Bridgeport, WV, 26330-1487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720165954
Provider Name
John Gregory Moore
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1160 Johnson Ave, Bridgeport, WV, 26330-1487
Phone Number
304-842-2361
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0137163000 05 WV
94661 01 WA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
1160 Johnson Ave
City
Bridgeport
State
West Virginia
Zip
26330-1487
Phone Number
304-842-2361
Fax Number
person
Provider Business Mailing Address Details
Address
1160 Johnson Ave
City
Bridgeport
State
West Virginia
Zip
26330-1487
Phone Number
304-842-2361
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2794 (West Virginia)
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.
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