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Contact Information

ROBERT L MOORE DDS
1717 W 6TH AVE
STILLWATER, OK74074
 Phone: 405-624-8955
 Fax: 405-743-3366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ROBERT L MOORE DDS

NPI # 1104083740
LBN Legal business name ROBERT L MOORE DDS
Authorized official ROBERT MOORE - (DENTIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2008
Last updated 06/02/2008 - About 18 years ago
Identifiers
OK License # 4620
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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