Lindsay H Moore, DMD PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4116 Issued in SC

Legal business name

LINDSAY H MOORE, DMD PA

Practice address

301 Church St
Georgetown, SC 29440-2405

Phone

(843) 221-4746

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Tabatha Cox

Title

Office Manager

Phone

(843) 221-4746

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1154794691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295100379",
            "telephone_number": "843-221-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CHURCH ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402405",
            "telephone_number": "843-221-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY H MOORE, DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-221-4746"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "4116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9326",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.