Moore Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901014832 Issued in MI

Legal business name

MOORE DENTAL PC

Practice address

511 W 8 Mile Rd
Detroit, MI 48203-1004

Phone

(313) 454-4800

NPI assigned

Jun 17, 2015

Organization subpart

No

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

Authorized official

Name

Charzatta Moore

Title

President

Phone

(586) 558-8004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1205217049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27201 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031004",
            "telephone_number": "313-454-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHARZATTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-558-8004"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta W Mooney, CNM
• Andrew Moonian, M.D.
• Dilip K. Moonka, M.D.
• Moor Care Residential Living Services
• Moore Adult Care LLC
• Moore Medical Transportation LLC
• Laurena Moore Powell, DDS
• Deja Moore-Grant, LLPC
• Adam Moore
• Adar J Moore

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.