Provider Demographics
NPI:1528062445
Name:MOORE, FRANK H JR (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:H
Last Name:MOORE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1530 FOREST LN S
Mailing Address - Street 2:STE G
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-7906
Mailing Address - Country:US
Mailing Address - Phone:972-485-5500
Mailing Address - Fax:972-485-5534
Practice Address - Street 1:1530 FOREST LN S
Practice Address - Street 2:STE G
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-7906
Practice Address - Country:US
Practice Address - Phone:972-485-5500
Practice Address - Fax:972-485-5534
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX89821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice