Jason T. Moore, D.D.S. and Adam T. Dorsett, D.D.S., PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JASON T. MOORE, D.D.S. AND ADAM T. DORSETT, D.D.S., PA

Practice address

1341 Lewisville Clemmons Rd
Lewisville, NC 27023-9635

Phone

(336) 608-3676

NPI assigned

Sep 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jason Moore, DDS

Title

President

Phone

(336) 608-3676

Specialties & licenses 1

Addresses

Other names 1

• HILLSDALE DENTAL-LEWISVILLE Doing business as

Locations

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629597240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 LEWISVILLE CLEMMONS RD",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239635",
            "telephone_number": "336-608-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 LEWISVILLE CLEMMONS RD",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239635",
            "telephone_number": "336-608-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON T. MOORE, D.D.S. AND ADAM T. DORSETT, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-608-3676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILLSDALE DENTAL-LEWISVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Into the Wild, Inc.
• Amy Elizabeth Field Ivester, M.A., CCC-SLP
• Caren Marie Jackson, MS/EDS, NCC, LPC
• Terry Lynn James
• Karen M Jarvis, MA, CCC-SLP
• JC Ward DDS PLLC
• Joni Kett Johnson, PHARM.D.
• Mary Margaret Johnson, LCSWA
• Dhanashree Dilip Joshi, MD
• Brigida Mimosa Jurado

• General Practice Dentistry in Lewisville, NC
• Providers in Lewisville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.