IndividualActive
Edward Moore, D.D.S.
NPI 1194877019 · General Practice Dentistry · Spencer, WV
Provider details
- NPI number
- 1194877019
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2515 (WV)
Specialties & taxonomies
Dental Providers
Practice location
533 Ripley Road
Spencer, WV 25276
Phone: (304) 927-3550
Fax: (304) 927-3566
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 279
Spencer, WV 25276-0279
Registry dates
- Enumerated
- 2007-01-18
- 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.