Dr. Patrick Brett Moore
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
6340 N Chatham Ave
Kansas City
, Missouri 64151-2473
Dr. Patrick Brett Moore
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
6340 N Chatham Ave
Kansas City
, Missouri 64151-2473
(816) 421-7379
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Patrick Brett Moore
- 2310 Holmes St Ste 800
- Kansas City, MO
- Zip : 64108-2602
- Fax : (816) 421-7379
- Phone : (816) 218-2523
Second Address
- Dr. Patrick Brett Moore
- 6340 N Chatham Ave
- Kansas City, MO
- Zip : 64151-2473
- Fax : (816) 746-1171
- Phone : (816) 746-1171
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 2005019138 | MO |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 2005019138 | MO |
National Provider Identifier
| NPI | 1497789036 |
|---|---|
| Provider Name | Dr. Patrick Brett Moore |
| First Address | Kansas City, MO 64108-2602 |
| Second Address | Kansas City, MO 64151-2473 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 30/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 61071 | KANSAS DENTAL LICENSE (01) | KS |
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.