Provider Demographics
NPI:1952442667
Name:MOORE, LINDSAY HARPER (DMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:HARPER
Last Name:MOORE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:ANDREWS
Mailing Address - State:SC
Mailing Address - Zip Code:29510-8111
Mailing Address - Country:US
Mailing Address - Phone:843-221-4746
Mailing Address - Fax:843-221-4750
Practice Address - Street 1:3535 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:SC
Practice Address - Zip Code:29510-8111
Practice Address - Country:US
Practice Address - Phone:843-221-4746
Practice Address - Fax:843-221-4750
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC41161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice