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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

NPI # 1447302054
LBN Legal business name DANIEL J MOORE DDS A PROFESSIONAL DENTAL CORP
Authorized official DANIEL MOORE - (DOCTOR DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/17/2007
Last updated 02/06/2013 - About 13 years ago
Identifiers
LA License # 3860
LA Medicaid 1838608
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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