DR. MARK WAYNE MOORE (NPI# 1699981183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699981183 |
| Entity Type | Individual |
| Full Name | DR. MARK WAYNE MOORE |
| Credential | D.M.D. |
| Practice Address |
2301 12th St Meridian MS 39301-3934 |
| Practice Telephone | 6014831818 |
| Practice Fax Number | 6014831117 |
| Mailing Telephone | 6014831818 |
| Mailing Fax Number | 6014831117 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
ENDO-321 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031019 | Mark Daniel Moore | Psychologist | 100 Miner St, Crescent City, IL 60928-8092 | 2017-08-30 |
| 1114462017 | Mark Christopher Moore | Anesthesiologist Assistant | 8000 E Maplewood Ave Bldg 5, Ste. 200, Greenwood Village, CO 80111-4766 | 2016-12-30 |
| 1588747588 | Mark W Moore | Physical Therapist | 6036 N 19th Ave Ste 303, Phoenix, AZ 85015 | 2006-10-23 |
| 1346338530 | Mark Douglas Moore | Optometrist | 2020 N Tyler Rd Ste 124, Wichita, KS 67212-4916 | 2006-10-11 |
| 1730289935 | Mark Edward Moore | Optometrist | 3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276 | 2006-09-25 |
| 1043328800 | Mark D Moore | Optometrist | 504 Peterson Ave S, Douglas, GA 31533-5254 | 2006-08-29 |
| 1104934462 | Mark Stephen Moore | Dentist | 5501 Matlock Rd, Arlington, TX 76018-1534 | 2006-08-28 |
| 1225022833 | Mark Phillip Moore | Dentist | 2048 Windward Ln, Gainesville, GA 30501-7418 | 2005-09-09 |
| 1710527130 | Mark Moore | Community Health Worker | 1114 Lane 12, Lovell, WY 82431-9555 | 2020-01-14 |
| 1467940049 | Mark Andrew Moore | Pharmacist | 1102 N Gateway Ave, Rockwood, TN 37854-4109 | 2018-04-29 |
| Street Address |
2301 12TH ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417353830 | Blue Creek Endodontics | Dentist | 3240 E Louise Dr, Suite 110, Meridian, ID 83642-5107 | 2014-11-12 |
| 1831435460 | James Anthony Eaton | Dentist | 3240 E Louise Dr # 110, Meridian, ID 83642-5107 | 2013-01-01 |
| 1912113036 | Matthew R Buhrley | Dentist | 742 W Cherry Ln, Meridian, ID 83642-1617 | 2007-05-15 |
| 1316040975 | Louis J Buhrley | Dentist | 1552 North Crestmont Dr, Ste # B, Meridian, ID 83642 | 2006-09-07 |
| 1538500657 | Daniel Brent Jenks | Dentist | 1075 S Wells St, Meridian, ID 83642-7997 | 2013-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619145539 | Kristy Goff Jones | Dentist | 301 Northlake Ave Ste 111, Ridgeland, MS 39157-1720 | 2008-02-13 |
| 1235349143 | Richard Ted Rice | Dentist | 910 Bechtel Blvd, Ocean Springs, MS 39564-3057 | 2007-05-23 |
| 1205057585 | Harry Thomas Cosby | Dentist | 144 South Thomas Street, Suite 203, Tupelo, MS 38801 | 2007-05-02 |
| 1619005972 | Endodontic Associates, Pllc | Dentist | 301 Northlake Ave, Suite 111, Ridgeland, MS 39157-1718 | 2007-03-01 |
| 1891822474 | James Derek White | Dentist | 1 Woodgreen Pl, Suite 100, Madison, MS 39110-8161 | 2007-02-28 |
| 1962566646 | J Thad Strange | Dentist | 517 Keywood Cir Ste 1a, Flowood, MS 39232-3054 | 2006-12-20 |
| 1346335064 | Ronald S. Bourgeois | Dentist | 423 Security Sq, Gulfport, MS 39507-1922 | 2006-10-04 |
| 1811098999 | Thomas Ferris Gerrets Jr. | Dentist | 599 Steed Rd # A, Ridgeland, MS 39157-1707 | 2006-09-25 |
| 1134238322 | Lance D Dillon | Dentist | 927 Highway 51, Madison, MS 39110 | 2006-08-30 |
| 1457465304 | Floyd Norman Ford | Dentist | 2900 Bluecutt Rd, Suite 4, Columbus, MS 39705-1470 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
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| 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.