Active NPI
Smiles & Moore Dental PC
- Dentist
- Dearborn, MI
National Provider Identifier
1487379012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SMILES & MOORE DENTAL PC
- Practice address
- 23923 Michigan Ave
Dearborn, MI 48124-1838 - Phone
- (313) 561-1260
- Fax
- (313) 561-0377
- NPI assigned
- Oct 6, 2022
- Last updated
- Oct 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terrance Henry Moore, DDS
- Title
- Owner/President
- Phone
- (248) 872-3333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
23923 Michigan Ave
Dearborn, MI 48124-1838
Mailing address
23923 Michigan Ave
Dearborn, MI 48124-1838
Phone (313) 561-1260
Other names 1
- Stillman & Moore Dental PC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Terrancem831@gmail.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Royal Oak, MI
- NPI 1689894388
-
- General Practice Dentistry
- Dearborn, MI
- NPI 1649017518
-
- General Practice Dentistry
- Dearborn, MI
- NPI 1679661169
-
- General Practice Dentistry
- Dearborn, MI
- NPI 1508964610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665014400000",
"number": "1487379012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23923 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241838",
"telephone_number": "313-561-1260",
"fax_number": "313-561-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23923 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241838",
"telephone_number": "313-561-1260",
"fax_number": "313-561-0377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILES & MOORE DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "TERRANCE",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "248-872-3333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Terrancem831@gmail.com",
"affiliation": "N",
"endpointDescription": "Office Email",
"address_1": "23923 Michigan Ave",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481241838",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Stillman & Moore Dental PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.