DR. PAMELA A MOORE (NPI# 1174631006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174631006 |
| Entity Type | Individual |
| Full Name | DR. PAMELA A MOORE |
| Credential | DMD |
| Practice Address |
836 Farmington Ave Suite 120 West Hartford CT 06119-1505 |
| Practice Telephone | 8605234239 |
| Practice Fax Number | 8602329752 |
| Mailing Telephone | 8605234239 |
| Mailing Fax Number | 8602329752 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
7345 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629499322 | Pamela Denese Moore | Physician Assistant | 1716 Allison Way, Redlands, CA 92373-7436 | 2013-12-23 |
| 1750519492 | Pamela Anne Moore | Contractor | 12703 Leyden St Unit E, Thornton, CO 80602-5226 | 2009-07-01 |
| 1508026535 | Pamela S Moore | Social Worker | 194 Webbmont Road, Highlands, NC 28741 | 2008-06-12 |
| 1770652679 | Pamela Beth Moore | Occupational Therapist | 5970 E 31st St, Ste F, Tulsa, OK 74135-5100 | 2006-11-06 |
| 1063506483 | Pamela Moore | Optometrist | 3300 E Flamingo Rd Ste 20, Las Vegas, NV 89121-4398 | 2006-10-02 |
| 1730192246 | Pamela Lynn Moore | Nurse Practitioner | 7600 N 15th Street, #130, Phoenix, AZ 85020-4347 | 2006-08-14 |
| 1700851391 | Pamela Kim Moore | Pediatrics | 1300 Sw 27th St, Renton, WA 98057-2435 | 2006-02-17 |
| 1477547701 | Pamela Marie Moore | Occupational Therapist | 6595 Cole Rd, Hahira, GA 31632-3621 | 2005-09-01 |
| 1851390900 | Pamela A Moore | Dentist | 1524 Independence Pkwy, Suite A1/b, Plano, TX 75075-6406 | 2005-07-20 |
| 1730718511 | Pamela Dianne Moore | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Mail Stop 800699, Charlottesville, VA 22908-0816 | 2020-04-03 |
| Street Address |
836 FARMINGTON AVE SUITE 120 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413615 | Donald James Salzberg | Ophthalmology | 836 Farmington Ave, Suite 121, West Hartford, CT 06119-1505 | 2005-08-04 |
| 1457895419 | Soul Therapy, LLC | Counselor | 836 Farmington Ave, Suite 221, West Hartford, CT 06119-1505 | 2016-12-10 |
| 1114319563 | Precision Toxicology, LLC | Clinical Medical Laboratory | 836 Farmington Ave, Suite 212, West Hartford, CT 06119-1505 | 2015-02-23 |
| 1447597315 | New England Food Allergy Treatment Center | Allergy & Immunology | 836 Farmington Ave, Suite 138, West Hartford, CT 06119-1505 | 2013-01-11 |
| 1104183409 | Central Ctonnecticut Oral Maxillofacial& Implant Surgery, PC | Clinic/Center | 836 Farmington Ave, Suite 223, West Hartford, CT 06119-1505 | 2012-04-12 |
| 1255603353 | Andrea Loftus LLC | Social Worker | 836 Farmington Ave, Suite 217b, West Hartford, CT 06119-1505 | 2012-02-04 |
| 1619246691 | Erica M Cuni | Marriage & Family Therapist | 836 Farmington Ave, Suite 217b, West Hartford, CT 06119-1505 | 2011-12-21 |
| 1780960385 | Dependable Optical, LLC | Technician/Technologist | 836 Farmington Ave, Suite 121, West Hartford, CT 06119-1505 | 2011-10-26 |
| 1326324922 | Pavel Krubitski | Technician/Technologist | 836 Farmington Ave, Suite 121, West Hartford, CT 06119-1505 | 2011-10-26 |
| 1477863710 | Ashley Bolella | Social Worker | 836 Farmington Ave, Suite 221, West Hartford, CT 06119 | 2010-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045675 | Sejal Thacker | Dentist | 82 Spring Lane, West Hartford, CT 06107 | 2009-07-04 |
| 1366551038 | Edward Herbert Karl | Dentist | 836 Farmington Av, West Hartford, CT 06119 | 2006-08-29 |
| 1497792071 | William Sidney Lavine | Dentist | 928 Farmington Ave, West Hartford, CT 06107-2227 | 2006-06-01 |
| 1013120906 | Michael Mark Perl | Dentist | 61 S Main St, West Hartford, CT 06107-2486 | 2007-05-07 |
| 1033279658 | David A Gelb | Dentist | 836 Farmington Ave, Suite 131, West Hartford, CT 06119 | 2006-12-12 |
| 1831280247 | Karl I Gelb Dds PC | Dentist | 836 Farmington Ave, West Hartford, CT 06119 | 2006-09-28 |
| 1013023050 | Associates In Periodontics, PC | Dentist | 61 S Main St, Suite 301, West Hartford, CT 06107-2486 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384966 | Connecticut Periodontal & Implant Associates | Dentist | 1080 Day Hill Rd Ste 101, Windsor, CT 06095-1781 | 2020-07-23 |
| 1790212348 | Vidushi Gupta | Dentist | 546 S Broad St Ste 2d, Meriden, CT 06450-6601 | 2017-05-15 |
| 1184057192 | Hamden Family Dental Center | Dentist | 4193 Whitney Ave, Hamden, CT 06518-1212 | 2013-08-13 |
| 1649618901 | Avon Center Dentistry | Dentist | 19 Ensign Drive, Avon, CT 06001 | 2013-06-10 |
| 1487900528 | Amazing Smiles LLC | Dentist | 148 East Ave Ste 1b, Norwalk, CT 06851-5727 | 2012-07-26 |
| 1851614002 | Patricia I Diaz-moreno | Dentist | 263 Farmington Ave # Mc2820, Farmington, CT 06030-2820 | 2010-03-02 |
| 1013144039 | Stella L. Laskowski | Dentist | 74 Palomba Drive, Enfield, CT 06082 | 2009-06-17 |
| 1407019557 | Nicole Ann Marquis | Dentist | 51 Boston Post Rd, Suite 10, Madison, CT 06443-2155 | 2008-07-09 |
| 1851562466 | Arthur Fred Dean | Dentist | 489 Route 184, Suite 201, Groton, CT 06340-6227 | 2008-03-23 |
| 1811171150 | Lawrence Delibero | Dentist | 17 1/2 Elm St, New Canaan, CT 06840-5502 | 2007-12-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
Please comment or provide details below to improve the information on DR. PAMELA A MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.