R Dan Moore DDS MD Oral and Facial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3658 Issued in ME

Legal business name

R DAN MOORE DDS MD ORAL AND FACIAL SURGERY

Practice address

24 Penn PLZ
Bangor, ME 04401-3620

Phone

(207) 947-6146

Fax

(207) 947-5237

NPI assigned

May 20, 2009

Last updated

Jul 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Dan Moore, MD, DDSNPI 1669511374

Title

Doctor

Phone

(207) 947-6146

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Robert Danny Moore, DDS, MD

  • Oral and Maxillofacial Pathology Dentistry
  • Bangor, ME
  • NPI 1669511374
  Authorized official Same address or phone

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1609001676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PENN PLZ",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013620",
            "telephone_number": "207-947-6146",
            "fax_number": "207-947-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PENN PLZ",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013620",
            "telephone_number": "207-947-6146",
            "fax_number": "207-947-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DAN MOORE DDS MD ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "207-947-6146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "3658",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ME",
            "license": "3658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Gardner Quimby, PH.D.
• Julie P Quinn, PA-C
• Lizbeth C Quint, MA
• Eva S Quirion, NP
• Karen J Quirk, LCSW
• R. Joseph Libby, D.M.D., P.a.
• Heather Denise Racine, FNP
• Valarie Radel, RN
• Srikanth Aswin Radhakrishnan, MD
• Elizabeth Ann Radliff, COTA/L

• Oral and Maxillofacial Surgery (Dentist) in Bangor, ME
• Providers in Bangor, ME by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.