Organization Active NPI

Smiles & Moore Dental PC

  • Dentist
  • Dearborn, MI
National Provider Identifier
1487379012
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Dr. Terrance Henry Moore, DDSNPI 1689894388
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)CodeLicenseStatePrimary
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 Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Terrancem831@gmail.com

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.