Moore Dental Office

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS5287 Issued in TN

Legal business name

MOORE DENTAL OFFICE

Practice address

113 Kennedy Dr
Martin, TN 38237-3344

Phone

(731) 587-4742

Fax

(731) 587-4411

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert C. Moore, D.D.S.

Title

Partner

Phone

(731) 587-4742

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1811318223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373344",
            "telephone_number": "731-587-4742",
            "fax_number": "731-587-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373344",
            "telephone_number": "731-587-4742",
            "fax_number": "731-587-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "731-587-4742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "DS5287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Rentals Inc
• Belinda A Merritt, M.D.
• Alvin James Miller Jr., MD
• Mitzi Nikkole
• Mitzi Nikkole
• Robert Christopher Moore, D.D.S.
• Warren Gregory Moore, D.D.S.
• Joseph Michael Morel, CRNA
• Michelle Morgan, RN
• Mitzi Morris, HAIR LOSS SPECIALIST

• Dental Clinic/Center in Martin, TN
• Providers in Martin, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.