Will David Moore, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN27097 Issued in FL

Practice address

2702 Tampa Rd
Palm Harbor, FL 34684-3311

Phone

(727) 390-2000

NPI assigned

Jun 21, 2022

Sex

Male

Sole proprietor

No

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.

• Dental Arts St Pete Beach P.a.

  • General Practice Dentistry
  • St Pete Beach, FL
  • NPI 1922511237
  NPD (past)
• Largo Dental One PA

  • General Practice Dentistry
  • Largo, FL
  • NPI 1851051536
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1851022768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LINCOLN AVE APT 14",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462214",
            "telephone_number": "641-201-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843311",
            "telephone_number": "727-390-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6921 Pistol Range Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336359675",
            "country_code": "US",
            "telephone_number": "813-497-7852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Belcher Rd S",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337715243",
            "country_code": "US",
            "telephone_number": "727-287-1555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 76th Ave",
            "address_purpose": "LOCATION",
            "city": "St Pete Beach",
            "state": "FL",
            "postal_code": "337061805",
            "country_code": "US",
            "telephone_number": "727-367-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10333 Seminole Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337784210",
            "country_code": "US",
            "telephone_number": "727-393-8912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WILL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly a Piekut LLC
• Alysha Nicole Monduori, DPT
• Phyllis Ambrose Montali, M.A., CCC-SLP
• Michael Fernando Monzon
• Devin Moore
• Isidoros James Moraitis, M.D.
• Rebecca Angela Morales de Castillo, R.N.
• Santiago Morales Jr., MD
• Kayleigh Jeannine Moreland
• Eric Polo Moreno, PA-C

• Dentist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.