William J Moorhead, D.M.D.
Individual provider Active NPI General Practice Dentistry · Flemingsburg, KY
NPI 1679550255 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1679550255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5255 (KY)
- Practice address
- 303 S Main Cross St
Flemingsburg, KY 41041-1204 - Phone
- (606) 845-2273
- Fax
- (606) 845-2171
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150813009978 | KY | Practitioner - Oral Surgery | 3375858822 | Practice locations: Flemingsburg, KY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5255 | OH | MD | Adult Development & Aging Psychologist |
| 5255 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William J Moorhead DMD PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5255 | KY | Yes |
Addresses
Primary practice location
303 S Main Cross St
Flemingsburg, KY 41041-1204
Mailing address
PO Box 474
Flemingsburg, KY 41041-0474
Phone (606) 845-2273
Other providers in Flemingsburg, KY
- Donald Earl McDaniel II
- Jennifer McRoberts
- Meadowview Physician Practice LLC
- Emily Ann Meisterheim
- Amy Leonard Monday
- Kimberly J Myers
- Roger K Owens
- Thomas Scott Perkins
- Pioneer Trace Group, LLC
- William R Poczatek
All providers in Flemingsburg, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.