Terrance Henry Moore Sr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012232 Issued in MI

Practice address

28926 Woodward Ave
Royal Oak, MI 48067-0942

Phone

(248) 398-9528

Fax

(248) 398-4553

NPI assigned

Apr 26, 2007

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)

Not enrolled

State licenses

Practice roles

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

• Smiles & Moore Dental PC

  • Dentist
  • Dearborn, MI
  • NPI 1487379012
  NPD Authorized official
• Terrance H. Moore DDS PC

  • General Practice Dentistry
  • Royal Oak, MI
  • NPI 1831809839
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689894388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 MEADOW CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021242",
            "telephone_number": "248-737-6055",
            "fax_number": "248-398-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28926 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670942",
            "telephone_number": "248-398-9528",
            "fax_number": "248-398-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TERRANCE",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "012232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Douglas Moore, M.D.
• Kimberly Moore, NP
• Laura Moore
• Lolonya R Moore, MD
• Megan Moore, MD
• Meredith Lynne Moran, PA-C
• Marcelino Quaglia Morato, M.D.
• Robert Morden
• Aditya More, MD
• Chelsie Morgan

• General Practice Dentistry in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• General Practice Dentistry in Michigan

• 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.