Individual provider · Type 1 NPI

Frederick Thomas Moore, DMD

Oral and Maxillofacial Surgery (Dentist) · Charleston, SC

NPI number 1174708010 Active

Practice location

173 Ashley Ave, Bsb 249,
Charleston, SC 29425-8908

Call (843) 792-0693 Map

Fax (843) 792-1280

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X17 (SC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1174708010

Frederick Thomas Moore, DMD's National Provider Identifier is 1174708010, issued on Jan 9, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charleston, SC. The record was last updated on Nov 1, 2026.