Organization Active NPI

William Moore Jr DMD LLC

Doing business as Moore Family & Cosmetic Dentistry

  • Durable Medical Equipment & Medical Supplies
  • Greensboro, GA
National Provider Identifier
1942830286
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WILLIAM MOORE JR DMD LLC
Doing business as
Moore Family & Cosmetic Dentistry
Practice address
1961 S Main St
Greensboro, GA 30642-1204
Phone
(706) 453-2351
NPI assigned
Jan 24, 2020
Last updated
Mar 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Dr. William David Moore Jr., DMDNPI 1710275706
Title
Owner/Dentist
Phone
(706) 453-2351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1961 S Main St
Greensboro, GA 30642-1204

Mailing address

1961 S Main St
Greensboro, GA 30642-1204
Phone (706) 453-2351

Other names 1

  • Moore Family & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1961 S Main St
Greensboro, GA 30642
Phone (706) 453-2351

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1942830286",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM MOORE JR DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "706-453-2351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moore Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, GA

Sources for this page

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