NPI 1144645201 · live from the CMS NPI Registry
Michael Moore, DDS, MBA
Dentist, Orthodontics and Dentofacial Orthopedics in Litchfield Park, AZ. National Provider Identifier 1144645201, active.
NPI record
| NPI | 1144645201 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4830 N Litchfield Rd Ste 101, Litchfield Park, AZ 85340 |
| Practice phone | 623-547-2022 |
| Mailing address | 2411 Antler Point Dr, Henderson, NV 89074 |
| Enumerated | February 26, 2014 |
| Last updated | February 26, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 8881 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.