Search › Indiana › 207Q00000X
Joseph Moore
NPI 1104354505 · on the registry since 2017 · sole proprietor
Practice
- Address
- 545 Vitality Dr Ste 100a
Fortville, IN 46040 - Phone
- (317) 621-9220
- Fax
- (317) 621-9222
- Organisation at this address
- Advanced Dental Care Of Fortville, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 500 S Preston St Rm 305, Louisville, KY
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- KY, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana