William J Moorhead DMD PLLC

Key facts

NPI

1104369750

Entity type

Organization (NPI type 2)

Primary specialty

Dental Clinic/Center 261QD0000X

License

5255 (KY)

Legal business name

WILLIAM J MOORHEAD DMD PLLC

Practice address

303 S Main Cross St
Flemingsburg, KY 41041-1204

Phone

(606) 845-2273

Fax

(888) 724-9594

NPI assigned

Nov 30, 2016

Organization subpart

No

Authorized official

Name

Dr. William J Moorhead, DMD NPI 1679550255

Title

Owner

Phone

(606) 845-2273

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

Practitioners 1

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

• William J Moorhead, D.M.D. General Practice Dentistry · Flemingsburg, KY · NPI 1679550255
  NPD (past) Authorized official

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Flemingsburg Dental Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 30, 2016.

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1104369750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410410474",
            "telephone_number": "606-845-2273",
            "fax_number": "888-724-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN CROSS ST",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410411204",
            "telephone_number": "606-845-2273",
            "fax_number": "888-724-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J MOORHEAD DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "MOORHEAD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-845-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "5255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flemingsburg Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flemingsburg, KY

• Hannah Thornton, MS, RD, LD
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• Shelly Truesdell
• Bradley Jason Ward, PHARM.D.
• Kristyna Watson
• Glenn Ruben Womack, M.D.
• Julia Renee Womack, ARNP

All providers in Flemingsburg, KY · Dental Clinic/Center in Kentucky