Dr. Randall Moore
Orthodontists
141 Milbank Ave
Greenwich
, Connecticut 06830-6616
Dr. Randall Moore
Orthodontists
141 Milbank Ave
Greenwich
, Connecticut 06830-6616
(203) 869-3377
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Randall Moore
- 141 Milbank Ave
- Greenwich, CT
- Zip : 06830-6616
- Phone : (203) 869-3377
Second Address
- Dr. Randall Moore
- 141 Milbank Ave
- Greenwich, CT
- Zip : 06830-6616
- Phone : (203) 869-3377
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 010308 | CT |
National Provider Identifier
| NPI | 1013386945 |
|---|---|
| Provider Name | Dr. Randall Moore |
| First Address | Greenwich, CT 06830-6616 |
| Second Address | Greenwich, CT 06830-6616 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2015 |
| Last Update Date | 22/09/2015 |
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.