Robert Danny Moore, DDS, MD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

3658 Issued in ME

Practice address

24 Penn PLZ
Bangor, ME 04401-3620

Phone

(207) 848-2806

Fax

(207) 947-5237

NPI assigned

Feb 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R Dan Moore DDS MD Oral and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Bangor, ME
  • NPI 1609001676
  Authorized official Same address or phone

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669511374",
    "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": "207-848-2806",
            "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": "207-848-2806",
            "fax_number": "207-947-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "DANNY",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "ME",
            "license": "3658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Rose Moore
• Marsha A. Moore
• Mary D Moore, LCSW
• Mary R Moore, CRNA
• Nicole K Moore, PAC
• Melinda Rae Moran, RDH
• Renee Marie Moran, P.T.
• Kathryn Marie Mordino, ANP-BC
• More Than Therapy LLC
• Michael Moreau, PA

• Oral and Maxillofacial Pathology Dentistry in Bangor, ME
• Providers in Bangor, ME by specialty
• Oral and Maxillofacial Pathology Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.