IndividualActive
Adam Moore, DDS
NPI 1669671558 · General Practice Dentistry · Oklahoma City, OK
Provider details
- NPI number
- 1669671558
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 7154 (OK)
Specialties & taxonomies
Dental Providers
Practice location
1705 Mark Wood St
Oklahoma City, OK 73130-8455
Phone: (281) 689-5266
Fax: (883) 798-5508
Approximate (ZIP-level) locationGet directions
Mailing address
143 Gault Rd
Blanco, TX 78606-2598
Registry dates
- Enumerated
- 2007-07-12
- Last updated
- 2021-03-23
- Certified
- 2021-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.