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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