Dr Jeffrey Richard Moran, DDS in Albany, NY - Dentist

Dr Jeffrey Richard Moran, DDS is a Dentist - Pediatric Dentistry based in Albany, New York. Dr Jeffrey Richard Moran is licensed to practice in New York (license number 034958) and his current practice location is 4 Executive Park Dr, Albany, New York. He can be reached at his office (for appointments etc.) via phone at (518) 489-6972.

NPI number for Dr Jeffrey Richard Moran is 1558400853 and his current mailing address is 4 Executive Park Dr, Albany, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558400853.

Contact Information

	Dr Jeffrey Richard Moran, DDS
	4 Executive Park Dr, Albany, NY 12203-3718
	(518) 489-6972
	(518) 446-1824

Healthcare Provider's Profile

Full Name	Dr Jeffrey Richard Moran
Gender	Male
Speciality	Dentist - Pediatric Dentistry
Location	4 Executive Park Dr, Albany, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1558400853
Provider Enumeration Date: 02/05/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jeffrey Richard Moran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558400853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	034958 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey Richard Moran is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jeffrey Richard Moran, DDS 4 Executive Park Dr, Albany, NY 12203-3718 Ph: (518) 489-6972	Dr Jeffrey Richard Moran, DDS 4 Executive Park Dr, Albany, NY 12203-3718 Ph: (518) 489-6972

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Dr Jeffrey Richard Moran, DDS - Dentist in Albany, NY