Whalio Doctors

NPI 1497789036

Patrick Brett Moore, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Kansas City, MO

Practice location

Address
6340 N Chatham Ave, Kansas City, MO 64151-2473
Phone
(816) 746-1171
Fax
(816) 746-1171
Mailing address
2310 Holmes St STE 800, Kansas City, MO 64108-2602

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2005019138 (MO)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 2005019138 (MO)

Registry record

NPI
1497789036
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jul 2006
Record last updated
30 Sep 2016

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.