Timothy E. Moore, Dds, Ms, Pc

NPI 1255507224 - Dentist - 1223P0300X

NPI Details
NPI 1255507224
Enumeration Date 04/30/2008
Last Updated 04/30/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TIMOTHY EDWARD TIMOTHY
Position PRESIDENT
Phone (918) 494-7676
Fax (918) 494-0806
Practice Location
7134 S YALE AVE
SUITE #400
TULSA OK, 74136-6372, US
Phone (918) 494-7676
Fax (918) 494-0806
Business Location
7134 S YALE AVE
SUITE #400
TULSA OK, 74136-6372, US
Phone (918) 494-7676
Fax (918) 494-0806
Toxanomy
Taxonomy Code 1223P0300X
License State Oklahoma
License Number 3981
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According to our database, Timothy E. Moore, Dds, Ms, Pc NPI is 1255507224, taxonomy code is 1223P0300X and license number is 3981, license state is located at Oklahoma. Timothy E. Moore, Dds, Ms, Pc physically located at 7134 S Yale Ave, Tulsa OK, 74136-6372. NPI Number 1033115704 has the healthcare provider type.

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1255507224 NPI number is provided on an as is basis without warranty of any kind. 1255507224 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy E. Moore, Dds, Ms, Pc are for informational purposes only.