Dale Moore
Denturist
1514 Jefferson Ave
La Grande
, Oregon 97850-2646
(541) 963-5803
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About
Features
Specialties
- Denturist
Languages spoken
- English
Location
First Address
- Dale Moore
- 1514 Jefferson Ave
- La Grande, OR
- Zip : 97850-2646
- Phone : (541) 963-5803
Second Address
- Dale Moore
- 1514 Jefferson Ave
- La Grande, OR
- Zip : 97850-2646
- Phone : (541) 963-5803
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122400000X | Denturist | DT-DO-793852 | OR |
National Provider Identifier
| NPI | 1558509281 |
|---|---|
| Provider Name | Dale Moore |
| First Address | La Grande, OR 97850-2646 |
| Second Address | La Grande, OR 97850-2646 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2009 |
| Last Update Date | 08/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.