Individual provider · Type 1 NPI

Jacob Gordon Moore, DDS

General Practice Dentistry · Waco, TX

NPI number 1124382957 Active

About NPI 1124382957

Jacob Gordon Moore, DDS's National Provider Identifier is 1124382957, issued on Jun 26, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waco, TX. The record was last updated on Jun 26, 2012.