Whalio Doctors

NPI 1851325260

Kent E. Moore, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Charlotte, NC

Practice location

Address
2711 Randolph Rd Suite 510, Charlotte, NC 28207-2034
Phone
(704) 358-8898
Fax
(704) 358-8889

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 5366 (NC)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 5366 (NC)

Registry record

NPI
1851325260
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jul 2006
Record last updated
19 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.