Sharon Moore

NPI 1457338568 · on the registry since 2005

Practice

Address: 4670 Park Nicollet Ave Se
Prior Lake, MN 55372
Phone: (952) 993-7750
Organisation at this address: Pdg,P.A.
Orthodontic Care Group
Northland Dental Partners Pllc
Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 363LW0102X
363LW0102X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota