Meghan N Moore DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MEGHAN N MOORE DDS PLLC

Doing business as

South Lyon Dental Care Center

Practice address

21800 Pontiac TRL Ste 100
South Lyon, MI 48178-7400

Phone

(248) 437-8300

NPI assigned

Jun 3, 2025

Last updated

Jun 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Meghan Moore, DDSNPI 1609435676

Title

Dentist/Owner

Phone

(248) 872-6619

Specialties & licenses 1

Addresses

Other names 1

• South Lyon Dental Care Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meghan Moore, DDS

  • Dentist
  • Coopersville, MI
  • NPI 1609435676
  Authorized official Same address or phone

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1760376990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 PONTIAC TRL STE 100",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481787400",
            "telephone_number": "248-437-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 PONTIAC TRL STE 100",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481787400",
            "telephone_number": "248-437-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGHAN N MOORE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "248-872-6619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Lyon Dental Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquelyn Margaret Mayowski, MS, LLPC
• Rebekah Marie McCormick, OTR/L
• Jill McGuire, R.D.
• Tom McPhail
• Jennifer McPherson, RD
• Elena Marie Mehl, M.D.
• Gabrielle M Mercieca, DDS
• Morgan J Merrill-Winowiecki, NP
• Tarek Nabil Metwally
• Michelle R Conforti (Gateway Dental Care)

• General Practice Dentistry in South Lyon, MI
• Providers in South Lyon, 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 Jun 3, 2025; 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.