Individual provider · Type 1 NPI

Hazel E. Moore, DDS

General Practice Dentistry · Kenosha, WI

NPI number 1114914066 Active

Practice location

4536 22nd Ave
Kenosha, WI 53140-5917

Call (262) 656-0044 Map

Fax (262) 653-2218

Mailing address

5822 Charles St
Racine, WI 53402-1824

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3267-015 (WI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

26 other providers at this address

Other general practice dentistry providers in Kenosha

See all in Kenosha →

About NPI 1114914066

Hazel E. Moore, DDS's National Provider Identifier is 1114914066, issued on Oct 4, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kenosha, WI. The record was last updated on Dec 29, 2011.