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Contact Information

DANIEL J MOORE DDS A PROFESSIONAL DENTAL CORP
1117 HOMER ROAD
MINDEN, LA71058
 Phone: 318-371-2211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DANIEL J MOORE DDS A PROFESSIONAL DENTAL CORP · (Female)

NPI # 1447302054
Status Active
Credentials
Entity Individual
Enumeration date 01/17/2007
Last updated 02/06/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 3860
  • LA Medicaid 1838608
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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