person
Dr. Jack Lowell Moore, DDS
Pediatric Dentist in Roseville, California
NPI 1982890331

Jack Lowell Moore is a Pediatric Dentist based in Roseville, CA and is specialized in Pediatric Dentistry. Jack Lowell Moore practices in Roseville, CA and has the professional credentials of DDS. The NPI Number for Jack Lowell Moore is 1982890331 and holds a License No. 17346 (California).

The current practice location address for Jack Lowell Moore is 700 Sunrise Avenue, Roseville, CA and can be reached out via phone at 916-782-1209 and via fax at 916-782-1770.

Location: 700 Sunrise Avenue, Roseville, CA, 95661-4561
person
Provider Profile Details
NPI Number
1982890331
Provider Name
Jack Lowell Moore
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
700 Sunrise Avenue, Roseville, CA, 95661-4561
Phone Number
916-782-1209
Fax Number
916-782-1770
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 Sunrise Avenue
City
State
Zip
95661-4561
Phone Number
916-782-1209
Fax Number
916-782-1770
person
Provider Business Mailing Address Details
Address
700 Sunrise Avenue
City
State
Zip
95661-4561
Phone Number
916-782-1209
Fax Number
916-782-1770
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
17346 (California)
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.
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