William D Moore Jr., D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNO14257 Issued in GA

Practice address

1961 S Main St
Greensboro, GA 30642-1204

Phone

(706) 453-2351

Fax

(706) 453-4714

NPI assigned

Jul 12, 2011

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

Locations

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.

• William Moore Jr DMD LLC

  • Durable Medical Equipment & Medical Supplies
  • Greensboro, GA
  • NPI 1942830286
  NPD Authorized official

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1710275706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421204",
            "telephone_number": "706-453-2351",
            "fax_number": "706-453-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421204",
            "telephone_number": "706-453-2351",
            "fax_number": "706-453-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNO14257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L. Miller, D.D.S
• Jessica Devero Milner, NP
• Jeffrey Charles Mitchell, MD
• Judith Gothard Moore
• Laura Moore
• William Frank Moore, RPH
• Jori A Morrell, DNP
• Amy Morris, PHARMD
• Alyssa Musgrove, D.C.
• Leslie Nelson

• General Practice Dentistry in Greensboro, GA
• Providers in Greensboro, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.