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Jacob Moore, DDS — NPI 1124382957, Waco, TX | NPI Central

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Jacob Moore, DDS

NPI 1124382957 · General Practice Dentistry · Waco, TX

Provider details

NPI number: 1124382957
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 27978 (TX)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 27978 (TX)
Dental Providers

Practice location

10104 Saddle Creek Rd

Waco, TX 76708-7290

Phone: (254) 836-9595

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

10104 Saddle Creek Rd

Waco, TX 76708-7290

Registry dates

Enumerated: 2012-06-26
Last updated: 2012-06-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.