Organization · Type 2 NPI
R Dan Moore DDS MD Oral and Facial Surgery
Oral and Maxillofacial Surgery (Dentist) · Bangor, ME
NPI number
1609001676
Active
Practice location
24 Penn Plz
Bangor, ME 04401-3620
Fax (207) 947-5237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 3658 (ME) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 3658 (ME) |
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.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Bangor
About NPI 1609001676
R Dan Moore DDS MD Oral and Facial Surgery's National Provider Identifier is 1609001676, issued on May 20, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bangor, ME. The record was last updated on Jul 30, 2009.