Tlhomamiso Christine Moremi, DMD
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Horseheads, NY
NPI 1689825317 · NPPES record last updated Feb 27, 2021
Key facts
- NPI
- 1689825317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 053171 (NY)
- Practice address
- 2840 Westinghouse Rd
Horseheads, NY 14845-8123 - Phone
- (607) 739-2551
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053171 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finger Lakes Orthodontics PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 053171 | NY | Yes |
Addresses
Primary practice location
2840 Westinghouse Rd
Horseheads, NY 14845-8123
Mailing address
2840 Westinghouse Rd
Horseheads, NY 14845-8123
Phone (607) 739-2551
Other practice location 1
21 W Market St Ste 201
Corning, NY 14830-2616
Phone (607) 936-3733
Other providers in Horseheads, NY
- Michael Cilip Jr
- Kathy Michaels
- Cindy Lee Mizio
- Vidyasagar Mokureddy
- David Allan Moore
- Susan A Morris
- Kylene Maria Morse
- Jennifer Lynn Mosher
- National Transplant Flight Group, LLC
- National Vision Inc
All providers in Horseheads, NY · Orthodontics and Dentofacial Orthopedics Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.