William P.E. Moore, DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WILLIAM P.E. MOORE, DMD, LLC

Doing business as

St. Helens Pediatric Dentistry

Practice address

500 N Columbia River Hwy
Suite 505
Saint Helens, OR 97051-1299

Phone

(503) 396-4750

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. William Moore, D.M.D.

Title

Managing Member

Phone

(503) 396-4750

Specialties & licenses 1

Addresses

Other names 1

• St. Helens Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1528457710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N COLUMBIA RIVER HWY",
            "address_2": "SUITE 505",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N COLUMBIA RIVER HWY",
            "address_2": "SUITE 505",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511299",
            "telephone_number": "503-396-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM P.E. MOORE, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-396-4750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Helens Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Whittaker, QMHA
• Tara Michelle Wichterman
• Elizabeth Anne Wieneke, LMT
• Adam Lyle Wilburn, CRM
• Lana Deila Wilkes, QMHA
• Misty C.a.P. Williams, LMT
• Andrea Wilson, RN,BSN
• Dana Wilson, LMSW
• Michele Wilson
• Shellyene Winans

• Dental Clinic/Center in Saint Helens, OR
• Providers in Saint Helens, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.