NPI 1003478611

Grace Moore, DDS

Practitioner Dentist Lincoln, NE

Practice location

Address: 4000 E Campus Loop S, Lincoln, NE 68583-1530
Phone: (402) 472-1333
Mailing address: 5402 Greenwood St, Lincoln, NE 68504-2218

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 7570 (NE)

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Registry record

NPI: 1003478611
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2019
Record last updated: 3 Jul 2019

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.