NPI 1083615330

Ronald R. Moore, D.M.D., P.A.

Organisation General Practice Dentistry Seneca, SC

Practice location

Address: 11012 N Radio Station Rd, Seneca, SC 29678-1142
Phone: (864) 882-0880
Fax: (864) 882-0881

Authorised official

Name: Ronald R. Moore
Title: Dentist
Phone: (864) 882-0880

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1600 (SC)

Other Dentist providers in South Carolina →

Registry record

NPI: 1083615330
Entity type: Organization
NPI issued: 9 Aug 2005
Record last updated: 28 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.