Organization Active NPI

Fench H. Moore, III .D.D.S, PC

  • General Practice Dentistry
  • Abingdon, VA
National Provider Identifier
1356821763
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006502 Issued in VA
Legal business name
FENCH H. MOORE, III .D.D.S, PC
Practice address
321 Court Street
Abingdon, VA 24210-2921
Phone
(276) 628-7862
Fax
(276) 628-7902
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
French Hale Moore III, D.D.S. PCNPI 1235242991
Title
Owner
Phone
(276) 628-7862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0401006502 VA Primary

Addresses

Primary practice location

321 Court Street
Abingdon, VA 24210-2921

Mailing address

321 Court Street
Abingdon, VA 24210-2921
Phone (276) 628-7862

Other names 1

  • Abingdon Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

321 Court St
Abingdon, VA 24210
Phone (276) 451-2450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1356821763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 COURT STREET",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102921",
            "telephone_number": "276-628-7862",
            "fax_number": "276-628-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 COURT STREET",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102921",
            "telephone_number": "276-628-7862",
            "fax_number": "276-628-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENCH H. MOORE, III .D.D.S, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "FRENCH",
        "authorized_official_middle_name": "HALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-628-7862",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S. PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abingdon Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.