NPI 1073722419

Mindy Michelle Moore, DDS

Practitioner Dentist Denham Springs, LA

Practice location

Address: 140 Veterans Blvd, Denham Springs, LA 70726-5100
Phone: (225) 667-0037
Fax: (225) 667-0038

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5813 (LA)

Other Dentist providers in Louisiana →

Registry record

NPI: 1073722419
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2007
Record last updated: 29 Oct 2014

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.