| Timothy E. Moore, Dds, Ms, Pc | |
|
7134 S Yale Ave Suite #400 Tulsa OK 74136-6372 | |
| (918) 494-7676 | |
| (918) 494-0806 |
| Full Name | Timothy E. Moore, Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7134 S Yale Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Timothy Edward Moore (PRESIDENT) |
| Authorized Official Contact | 9184947676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy E. Moore, Dds, Ms, Pc 7134 S Yale Ave Suite #400 Tulsa OK 74136-6372 Ph: (918) 494-7676 | Timothy E. Moore, Dds, Ms, Pc 7134 S Yale Ave Suite #400 Tulsa OK 74136-6372 Ph: (918) 494-7676 |
| NPI Number | 1255507224 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255507224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3981 (Oklahoma) | Primary |
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