Provider Demographics
NPI:1932063542
Name:MOORE DEYO FAMILY DENTISTRY, LLC
Entity type:Organization
Organization Name:MOORE DEYO FAMILY DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GREIG-MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-848-8229
Mailing Address - Street 1:332 140 VILLAGE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6196
Mailing Address - Country:US
Mailing Address - Phone:410-848-8229
Mailing Address - Fax:
Practice Address - Street 1:332 140 VILLAGE RD STE 4
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6196
Practice Address - Country:US
Practice Address - Phone:410-848-8229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-10
Last Update Date:2025-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1992494652OtherNPI1
MD1548495187OtherNPI1
MD1073784187OtherNPI1