Male or Other

Michael R. Moore DDS

Dentist in Orange Park, FL(View on Map)

Full Name

Michael Ralph Moore DDS

NPI Number

1184643082

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/19/2006

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

DN7308

Contact
Information

Purpose

Mailing
Location

Address

7146 FITZPATRICK LN
410 BLANDING BLVD STE 6B

City

Jacksonville
Orange Park

State

FL
FL

Postal Code

32226-2220
32073-5065

Country

US
US

Telephone Number

(904) 757-3330
(904) 276-5950

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/17/2020

Provider Address

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