Timothy E. Moore, DDS, Ms, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3981 Issued in OK

Legal business name

TIMOTHY E. MOORE, DDS, MS, PC

Practice address

7134 S Yale Ave
Suite #400
Tulsa, OK 74136-6372

Phone

(918) 494-7676

Fax

(918) 494-0806

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Edward Moore, DDS

Title

President

Phone

(918) 494-7676

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1255507224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7134 S YALE AVE",
            "address_2": "SUITE #400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366372",
            "telephone_number": "918-494-7676",
            "fax_number": "918-494-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7134 S YALE AVE",
            "address_2": "SUITE #400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366372",
            "telephone_number": "918-494-7676",
            "fax_number": "918-494-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY E. MOORE, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-494-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OK",
            "license": "3981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Periodontics in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.