DR. MARK TIMOTHY MOORE (NPI# 1861628745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861628745 |
| Entity Type | Individual |
| Full Name | DR. MARK TIMOTHY MOORE |
| Credential | D.D.S |
| Practice Address |
806 W Main St Jamestown NC 27282-9508 |
| Practice Telephone | 3364541192 |
| Practice Fax Number | 3364541193 |
| Mailing Telephone | 3364541192 |
| Mailing Fax Number | 3364541193 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5616 | NC | 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 |
| 1699981183 | Mark Wayne Moore | Dentist | 2301 12th St, Meridian, MS 39301-3934 | 2007-05-14 |
| 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 |
| Street Address |
806 W MAIN ST |
| City | JAMESTOWN |
| State | NC |
| Zip Code | 27282-9508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619301231 | Donna Jean Drosinis | Physician Assistant | 604 W. Main Street, Jamestown, NC 27282 | 2013-08-30 |
| 1548694268 | The Guilford County Resource and Referral Center | Community/Behavioral Health | 725-b W. Main Street, Jamestown, NC 27282 | 2013-08-29 |
| 1912269036 | Jacob Ilardi | Licensed Practical Nurse | 310 Nutwood Circle, Jameston, NC 27282 | 2012-06-14 |
| 1295985471 | Paris S Ford | Occupational Therapist | 200 Haynes Rd, Jamestown, NC 27282 | 2008-09-24 |
| 1972787083 | Charles L Brandenburg IIi Dds | Dentist | 5011d Mackay Rd, Jamestown, NC 27282 | 2007-12-26 |
| 1013034156 | Cecelia A Tolliver | Specialist/Technologist | 602 High Point Rd., Jamestown, NC 27282 | 2007-03-23 |
| 1174619746 | Ronald Ray Beshears | Dentist | 720 West Main Street, Suite B, Jamestown, NC 27282 | 2006-10-04 |
| 1982110342 | Novant Medical Group. Inc. | Family Medicine | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282 | 2017-12-21 |
| 1275992943 | Amanda Brooks Adamski | Nurse Practitioner | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282 | 2016-02-23 |
| 1548573207 | Regional Physicians LLC | Family Medicine | 604 W Main St, Jamestown, NC 27282 | 2010-07-22 |
| Find all providers in zip 27282 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144431909 | Alison M Fallgatter | Dentist | 920 10th St. Ne, Suite A, Jamestown, ND 58401 | 2007-05-24 |
| 1295958890 | Gary Cornforth | Dentist | 406 1st Ave N, Jamestown, ND 58401-3302 | 2007-04-11 |
| 1548284714 | Andrew Corey Kohl | Dentist | 660 Foote Ave, Jamestown, NY 14701-8228 | 2006-07-27 |
| 1346242252 | Neil Lawrence Blitz | Dentist | 19 Clarkes Village Rd, Jamestown, RI 02835-2803 | 2005-08-10 |
| 1780827766 | Michele Marie Frazier | Dentist | 20 W 6th St, Jamestown, NY 14701-5018 | 2009-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251344 | Zammitti Gidaly Abrams Cohen & Associates V PC | Dentist | 13527 Steelecroft Pkwy Ste C, Charlotte, NC 28278-7887 | 2020-10-05 |
| 1578177952 | Mcmillian Dds and Morrone Dmd, Pa | Dentist | 2301 Battleground Ave, Greensboro, NC 27408-5422 | 2020-09-03 |
| 1487263125 | T Richard Ziehmer Dds Msd Pllc | Dentist | 4016 Battleground Ave Ste H, Greensboro, NC 27410-9800 | 2020-07-29 |
| 1952929986 | Keri Beth Kenning | Dentist | 1915 Hendersonville Rd, Asheville, NC 28803-2104 | 2020-07-07 |
| 1992323901 | M. Avey & Associates Nc PC V | Dentist | 1507 Westover Ter Ste A, Greensboro, NC 27408-7121 | 2020-07-07 |
| 1669037834 | Drs Shrager and Reimels Pllc | Dentist | 8331 Bandford Way Ste 105, Raleigh, NC 27615-2765 | 2019-05-03 |
| 1487119194 | Abdelbaky, Arbon & Boes, Pllc | Dentist | 1460 Kelly Road, Suite 201, Apex, NC 27502 | 2019-02-06 |
| 1225507320 | Shane Markey Dds Ms Pllc | Dentist | 8412 New Town Rd Ste A, Waxhaw, NC 28173 | 2018-11-19 |
| 1265907612 | Roberts Hoina & Associates Pllc | Dentist | 5069 University Pkwy Ste 11, Winston Salem, NC 27106-6083 | 2018-10-11 |
| 1710461520 | A M Jackson & Associates Dds Ms Pllc | Dentist | 8430 University Exec Park Dr Ste 605, Charlotte, NC 28262-1353 | 2018-09-18 |
| 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.