Dr. Lisa Marie Moore is a South Bend, Indiana based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Lisa Marie Moore is 12009706 for Pediatric Dentistry in Indiana. Her current practice location is 1005 E Lasalle Ave, South Bend. Patients can reach her at 574-245-7501.
Dr. Lisa Marie Moore provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Lisa Marie Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Lisa Marie Moore
Specialization:
Pediatric Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1005 E Lasalle Ave, South Bend, Indiana, 46617-2818
Phone:
574-245-7501
Fax:
574-245-7502
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1407875891
NPI Enumeration Date:
18 Jul, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa Marie Moore are as mentioned below.
License Number
Specialization
State
Status
12009706
Pediatric Dentistry
Indiana
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1005 E Lasalle Ave, South Bend, Indiana
Zip:
46617-2818
Phone Number:
574-245-7501
Fax Number:
574-245-7502
Patients can reach Dr. Lisa Marie Moore at 1005 E Lasalle Ave, South Bend, Indiana or can call to book an appointment on 574-245-7501. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.