Curtis Lee Moore III, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

25939 Issued in FL

Practice address

546 S 5TH St
Macclenny, FL 32063-2602

Phone

(904) 259-5007

NPI assigned

Jun 14, 2021

Last updated

Nov 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baker Restorative PLLC

  • Dental Clinic/Center
  • Macclenny, FL
  • NPI 1861328825
  NPD (past)
• Margaret L. Romeo, D.M.D.,P.a.

  • General Practice Dentistry
  • Macclenny, FL
  • NPI 1497972541
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1831767144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13432 AQUILINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243001",
            "telephone_number": "803-609-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 S 5TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632602",
            "telephone_number": "904-259-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CURTIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9919",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millennium Physician Group LLC
• John B Milton, MD
• Alyssa M Mitchell, MS
• Magan Mona, NP-C
• Lourdes Dela Rosa Monsod, MD
• Thomas Richard Murray, M.D.
• Nancy E. Davie, Inc.
• Ameena Zenaida Nathan, ARNP
• Macy Brooke Neal, DNP, FNP-BC
• New Hope, LLC

• Dentist in Macclenny, FL
• Providers in Macclenny, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.