IndividualActive
Andrew Moore, DDS
NPI 1184834145 · General Practice Dentistry · Shawnee, KS
Provider details
- NPI number
- 1184834145
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7200 (KS)
Specialties & taxonomies
Dental Providers
Practice location
5550 Hedge Lane Ter
Shawnee, KS 66226-2253
Phone: (913) 422-0007
Fax: (913) 422-0009
Approximate (ZIP-level) locationGet directions
Mailing address
5550 Hedge Lane Ter
Shawnee, KS 66226-2253
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.