Dr Kyle R Moore DDS
Organization Active NPI Dentist · Wynnewood, OK
NPI 1346400512 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1346400512
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- DR KYLE R MOORE DDS
- Practice address
- 101 Jameson Drive
Wynnewood, OK 73098 - Phone
- (405) 665-2041
- Fax
- (405) 665-2707
- NPI assigned
- Jun 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Kyle Richard Moore, DDS
- Title
- Dr
- Phone
- (405) 665-2041
National Provider Directory
Locations
101 Jameson Dr
Wynnewood, OK 73098
Phone (405) 226-8373
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | OK | Yes |
Addresses
Primary practice location
101 Jameson Drive
Wynnewood, OK 73098
Mailing address
PO Box 459
101 Jameson Drive
Wynnewood, OK 73098-0459
Phone (405) 665-2041
Other providers in Wynnewood, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.