OrganizationActive
R Dan Moore DDS MD Oral and Facial Surgery
NPI 1609001676 · Oral and Maxillofacial Surgery (Dentist) · Bangor, ME
Provider details
- NPI number
- 1609001676
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Robert Moore, Doctor(207) 947-6146
- License
- 3658 (ME)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
24 Penn Plz
Bangor, ME 04401-3620
Phone: (207) 947-6146
Fax: (207) 947-5237
Approximate (ZIP-level) locationGet directions
Mailing address
24 Penn Plz
Bangor, ME 04401-3620
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2009-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.