Whalio Doctors

NPI 1033233705

Stephen M Moore

Practitioner General Practice Dentistry Appleton, WI

Practice location

Address
381 S Kools St, Appleton, WI 54914-3932
Phone
(920) 996-0123
Fax
(920) 735-0123

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 5725-015 (WI)

Registry record

NPI
1033233705
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Mar 2007
Record last updated
8 Jul 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.