Search › Kentucky › 1223G0001X
Donald Moore, DDS
NPI 1861412017 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2441 21st Street
U S Army Dental Activity
Fort Campbell, KY 42223 - Phone
- (270) 798-8614
- Fax
- (270) 798-8633
- Clinicians at this address
- 50
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
1223G0001X
1223G0001X - Licence states on file
- OH, SC, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-04
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 Kentucky