Dennis Moore
Pediatrician Adolescent Medicine
650 N Nellis Blvd
Las Vegas
, Nevada 89110-5382
Dennis Moore
Pediatrician Adolescent Medicine
650 N Nellis Blvd
Las Vegas
, Nevada 89110-5382
(702) 459-0320
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dennis Moore
- Po Box 15645
- Las Vegas, NV
- Zip : 89114-5645
- Fax : (702) 459-0320
- Phone : (702) 641-3212
Second Address
- Dennis Moore
- 650 N Nellis Blvd
- Las Vegas, NV
- Zip : 89110-5382
- Fax : (702) 459-0320
- Phone : (702) 641-3212
Reviews
FAQs
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Is Dennis Moore a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 9907 | NV |
| N | 2080A0000X | Adolescent Medicine | NV 9907 | NV |
National Provider Identifier
| NPI | 1053452250 |
|---|---|
| Provider Name | Dennis Moore |
| First Address | Las Vegas, NV 89114-5645 |
| Second Address | Las Vegas, NV 89110-5382 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2007 |
| Last Update Date | 25/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002018572 | (05) | NV |
| 1053452250 | (05) | NV |
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.