Active NPIIndividual providerSole proprietor

Dr. Richard A Moore, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Anderson, South Carolina

NPI Number1790907756
Practice location
3112 N Main St, Anderson, SC 29621-2763
Fax
—
Last updated
August 7, 2020

Richard A Moore is a Dentist, Orthodontics and Dentofacial Orthopedics based in Anderson, SC. Richard A Moore practices in Anderson, SC and has the professional credentials of DMD. The NPI Number for Richard A Moore is 1790907756 and holds a License No. 9590 (SC). The current practice location address for Richard A Moore is 3112 N Main St, Anderson, SC 29621-2763 and can be reached out via phone at 864-772-6500.

Provider Profile Details

NPI Number
1790907756
Provider Name
Richard A Moore
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3112 N Main St, Anderson, SC 29621-2763
Phone Number
864-772-6500
Sole Proprietor
Yes
Provider Enumeration Date
May 2, 2007
Last Update Date
August 7, 2020
Certification Date
August 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3112 N Main St
Anderson, SC 29621-2763
Zip
29621-2763
Phone Number
864-772-6500
Anderson, SC 29621Get directions →

Provider Business Mailing Address Details

Address
3112 N Main St
Anderson, SC 29621-2763
City
Anderson
State
SC
Zip
29621-2763
Phone Number
864-772-6500

License Information

License Number (1)
9590
License State (1)
SC
License Number (2)
22D100900700
License State (2)
NJ
License Number (3)
9684
License State (3)
SC
Taxonomy (3)
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · 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. Richard A Moore, DMD?

The NPI number of Dr. Richard A Moore, DMD is 1790907756. It was assigned on May 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Richard A Moore, DMD?

Dr. Richard A Moore, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in SC under license number 9590.

Where does Dr. Richard A Moore, DMD practice?

The practice location is 3112 N Main St, Anderson, SC 29621-2763. The office can be reached at 864-772-6500 (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 1790907756 directly on the NPPES registry website.

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