Individual provider · Type 1 NPI

Laura Elisabeth Moore, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Springfield, MO

NPI number 1548890452 Active

Practice location

1524 E Bradford Pkwy
Springfield, MO 65804-6565

Call (417) 888-3030 Map

Mailing address

3551 E Woodside St
Springfield, MO 65809-4206

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	2019040745 (MO)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1548890452

Laura Elisabeth Moore, DDS's National Provider Identifier is 1548890452, issued on Jan 20, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Springfield, MO. The record was last updated on Jan 20, 2020.