LEE EUGENE MOORE (NPI# 1093709842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093709842 |
Entity Type | Individual |
Full Name | LEE EUGENE MOORE |
Credential | DDS |
Practice Address |
106 S Cummings Ln Washington IL 61571-3442 |
Practice Telephone | 3094442523 |
Practice Fax Number | 3094447223 |
Mailing Telephone | 3094442523 |
Mailing Fax Number | 3094447223 |
Enumeration Date | 2005-09-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326432287 | Lee Goddard Moore | Registered Nurse | 1310 Bertha Ave Nw, Bremerton, WA 98312-2607 | 2015-03-27 |
1942563051 | Lee Ann Moore | Pharmacist | 815 S College Rd, Wilmington, NC 28403-4409 | 2012-06-22 |
1306920913 | Lee Richard Moore Jr. | Optometrist | 311 Prospect Ave, Charles Town, WV 25414-1137 | 2006-10-24 |
1255320842 | Lee J Moore | Dentist | 2407 W 104th St, Chicago, IL 60655-1006 | 2005-10-17 |
1407398308 | Lee Moore | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2016-11-08 |
1699156950 | Lee Ellis Moore | Internal Medicine | 501 Baptist Dr Ste 220, Madison, MS 39110-2031 | 2015-06-12 |
1962728600 | Lee Katherine Moore | Emergency Medicine | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2010-04-19 |
1861648248 | Lee David Moore | Obstetrics & Gynecology | 2900 E 29th St, Suite 300, Bryan, TX 77802-2622 | 2008-08-17 |
1508859166 | Lee S Moore | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
Street Address |
106 S CUMMINGS LN |
City | WASHINGTON |
State | IL |
Zip Code | 61571-3442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366514895 | Michael Fosselman | Dentist | 106 S Cummings Ln, Washington, IL 61571-3442 | 2006-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
1639410772 | Stephen L Dejaynes | Counselor | 100 Hillcrest Drive, Washington, IL 61571 | 2013-03-14 |
1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
1871878371 | M Lisa Kim | Pharmacist | 1700 Saddleridge Ct, Washington, IL 61571 | 2011-10-15 |
1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
1659600948 | Skill Sprout, LLC | Behavioral Analyst | 128 Washington Square, Washington, IL 61571 | 2009-12-15 |
1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
Find all providers in zip 61571 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508470196 | Benise Nnawuihe | Dentist | 55 M St Se, Washington, DC 20003-3522 | 2020-09-01 |
1124636139 | Amma Boateng | Dentist | 3651 Winfield Ln Nw, Washington, DC 20007-2385 | 2020-07-15 |
1760008841 | Kaitlin Elise Delaney | Dentist | 2021 K St Nw Ste 720, Washington, DC 20006-1003 | 2020-06-24 |
1710500871 | Robert Scott Mckernan | Dentist | 55 M St Ne Apt Ph210, Washington, DC 20002-3298 | 2020-05-24 |
1629691092 | City Dental Dc- 2055 L, Pllc | Dentist | 2075 L Street, Nw, Washington, DC 20036 | 2020-05-20 |
1275174351 | Roberts Brown & Associates | Dentist | 4300 Wheeler Rd Se, Washington, DC 20032-6036 | 2019-10-01 |
1841848421 | Tayler Yvette Keith Jackson | Dentist | 509 11th St Se, Washington, DC 20003-2831 | 2019-08-28 |
1639726243 | Matias Cima | Dentist | 4400 Jenifer St Nw Ste 340, Washington, DC 20015-2086 | 2019-08-20 |
1770145328 | Lydia Ileana Goodson | Dentist | 525 S, Ia-1, Washington, IA 52353-5235 | 2019-07-03 |
1346800356 | Mallory Kist | Dentist | 366 Washington Rd, Washington, PA 15301-2702 | 2019-06-20 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 61571 |
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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.