National Provider Identifier
Michael Gavin Moore, D.D.S.
Michael Gavin Moore, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Amherst, NY and a listed phone number of (716) 835-1670.
Profile Overview
- NPI
- 1497806756
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- January 15, 2007
- Last Updated
- July 08, 2007
Practice Location
- 350 Alberta Dr
- 101
- Amherst, NY 14226-1855
Phone: (716) 835-1670
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1497806756
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Michael
- Middle Name
- Gavin
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 350 Alberta Dr
- Mailing Address Line 2
- 101
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1855
- Mailing Country
- US
- Mailing Phone
- (716) 835-1670
- Mailing Fax
- (716) 862-9844
- Practice Street Address
- 350 Alberta Dr
- Practice Address Line 2
- 101
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1855
- Practice Country
- US
- Practice Phone
- (716) 835-1670
- Practice Fax
- (716) 862-9844
- Enumeration Date
- January 15, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)