DAISY KIT MOORE (DDS PA) – General Practice Dentistry, NPI 1437144292
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DAISY KIT MOORE (DDS PA)
East State Highway 114, Southlake, Tarrant County, Texas, 76092, United States
SUITE 104
SOUTHLAKE, TX 760925233
Phone: (817) 410-7373
Fax: (817) 416-9383
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-11-13
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76092)
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