Arthur William Moore III, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN14629 Issued in FL

Practice address

2024 Edgewood Dr S
Lakeland, FL 33803-3637

Phone

(863) 667-4726

Fax

(863) 665-8399

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

University of Florida College of Dentistry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orofacial and Dental Implant Surgery Associates PAGroup PAC ID 3577533017, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orofacial & Dental Implant Surgery Associates PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Orlando, FL
  • NPI 1972609055
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1164564951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 HAYTER DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133535",
            "telephone_number": "863-646-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 EDGEWOOD DR S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033637",
            "telephone_number": "863-667-4726",
            "fax_number": "863-665-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ARTHUR",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN14629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia N Moody, M.D.
• Cory Adam Moogerfeld, PA-C
• Cathy E Mook, MT
• Anthony Moon, MD
• Yolanda Moore Rucker
• Deeanna Dean Moore
• Heather Lynn Moore, LCSW
• Jamie Palmer Moore, RD/LDN, MPH
• Janice Moore
• John Clifton Moore III, MD

• Oral and Maxillofacial Surgery (Dentist) in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.