Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY CHARLES MOORE, DDS,MSD
Active Sole ProprietorDR. TIMOTHY CHARLES MOORE, DDS,MSD is a Pediatric Dentistry healthcare provider located in GRAND RAPIDS, Michigan. NPI 1679599930 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1679599930
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (20.04488637169 yrs)
- Last Updated
- Jul 21, 2022
- License
-
2901010163 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
826 PARCHMENT DR SESUITE # 200GRAND RAPIDS, MI, 495462374Browse MI providers · Browse ZIP 49546
- Phone
- 6162859509
- Fax
- 6162858856
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN THERON DOEZEMA | DDS MS | 1225156292 |
| DR. ROBERT GRAHAM GREENLAND | DDS, MS | 1003296781 |
| REEM ABI HUSSEIN | DDS | 1588338263 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.