Doctor Name: | MARGARET GRAHAM MOORE |
NPI Number: | 1013930338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DMD |
License Number: | DN012955 |
Business Practice Address: | 900 Professional Dr Warner Robins, GA - 310880520 |
Business Phone Number: | 4783333636 |
Business Fax Number: | 4783336399 |
Mailing Address: | 223 Oberon Ln, MACON |
State: | GA |
Postal Code: | 312103097 |
Phone Number: | 4783333636 |
Fax Number: | 4783336399 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 03/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DN012955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |