Thomas Moore, D.D.S

NPI 1538267935 · on the registry since 2006 · sole proprietor

Practice

Address: 13013 Fuller Ave
Suite B
Grandview, MO 64030
Phone: (816) 966-0788
Fax: (816) 966-1077
Organisation at this address: The Medina Clinic, Incorporated
Open Doors Adult Day Care Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 39

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Missouri