Individual provider · Type 1 NPI
Marlon K. Moore, DMD
Oral and Maxillofacial Surgery (Dentist) · Bronx, NY
NPI number
1467563262
Active
Practice location
1776 Eastchester Rd Ste 230
Bronx, NY 10461-2335
Fax (718) 918-1776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 045968 (NY) |
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 1467563262
Marlon K. Moore, DMD's National Provider Identifier is 1467563262, issued on Aug 31, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bronx, NY. The record was last updated on Mar 20, 2024.