Organization Active NPI

George L. Moore, D.D.S.,P.C.

  • General Practice Dentistry
  • Sedona, AZ
National Provider Identifier
1033325923
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
AZ2205 Issued in AZ
Legal business name
GEORGE L. MOORE, D.D.S.,P.C.
Practice address
80 Soldiers Pass Rd
Sedona, AZ 86336-4782
Phone
(928) 282-7871
Fax
(928) 282-6470
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. George Lee Moore, D.D.S.NPI 1407126683
Title
Owner
Phone
(928) 282-7871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X AZ2205 AZ Primary

Addresses

Primary practice location

80 Soldiers Pass Rd
Sedona, AZ 86336-4782

Mailing address

80 Soldiers Pass Rd
Sedona, AZ 86336-4782
Phone (928) 282-7871

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1033325923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SOLDIERS PASS RD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364782",
            "telephone_number": "928-282-7871",
            "fax_number": "928-282-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SOLDIERS PASS RD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364782",
            "telephone_number": "928-282-7871",
            "fax_number": "928-282-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE L. MOORE, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-282-7871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ2205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.