Provider Demographics
NPI:1871314039
Name:MORGAN BARNES MOORE, D.M.D., P.L.L.C.
Entity type:Organization
Organization Name:MORGAN BARNES MOORE, D.M.D., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:BARNES
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:919-894-8114
Mailing Address - Street 1:PO BOX 416
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-0416
Mailing Address - Country:US
Mailing Address - Phone:919-894-8114
Mailing Address - Fax:919-894-2581
Practice Address - Street 1:105 S RAILROAD ST
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-1325
Practice Address - Country:US
Practice Address - Phone:919-894-8114
Practice Address - Fax:919-894-2581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental