Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dennis Moore, MD

Individual provider Pediatrics Physician · NPI 1053452250

Dennis Moore, MD is a Pediatrics Physician in Grandview, Washington. Practices as a sole proprietor. Licensed in Nevada and Washington.

Licensed in
NV, WA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1003 Wallace Way
Grandview, WA 98930-8805
Phone: (509) 203-1080
Fax: (509) 203-1077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD61499857 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence 9907 (NV)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence NV 9907 (NV)

Record details

NPI number1053452250
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 9, 2007
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address1003 Wallace Way, Grandview, WA 98930-8805

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