IndividualActive
Frederick Moore, D.M.D.
NPI 1174708010 · Oral and Maxillofacial Surgery (Dentist) · Charleston, SC
Provider details
- NPI number
- 1174708010
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 17 (SC)
Practice location
173 Ashley Ave
Bsb 249,
Charleston, SC 29425-8908
Phone: (843) 792-0693
Fax: (843) 792-1280
Mailing address
173 Ashley Ave
Charleston, SC 29425-8908
Registry dates
- Enumerated
- 2008-01-09
- Last updated
- 2008-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.