Active NPI
Fench H. Moore, III .D.D.S, PC
- General Practice Dentistry
- Abingdon, VA
National Provider Identifier
1356821763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401006502
- 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
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. PC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Abingdon, VA
- NPI 1235242991
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.