Nicholas Jay Moore is a Springfield, Missouri based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Nicholas Jay Moore is 2019016638 for Dentistry in Missouri. His current practice location is 440 E Tampa St, Springfield. Patients can reach him at 417-831-0150.
Nicholas Jay Moore is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Nicholas Jay 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:
Nicholas Jay Moore
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
440 E Tampa St, Springfield, Missouri, 65806-1131
Phone:
417-831-0150
Fax:
417-868-8263
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:
1225695703
NPI Enumeration Date:
21 May, 2019
NPI Last Update On:
21 May, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicholas Jay Moore are as mentioned below.
License Number
Specialization
State
Status
2019016638
Dentistry
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicholas Jay Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2019016638
Other
Missouri
MISSOURI PROFESSIONAL LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
947 Weeks Ave Se, Minneapolis, Minnesota
Zip:
55414-2675
Phone Number:
816-699-0732
Patients can reach Nicholas Jay Moore at 440 E Tampa St, Springfield, Missouri or can call to book an appointment on 417-831-0150. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.