LEE EUGENE MOORE


Address: 106 S Cummings Ln, Washington, IL 61571-3442
Phone: 3094442523

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
IL Dental Providers

Other Providers LEE MOORE

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

Office Location

Street Address 106 S CUMMINGS LN
City WASHINGTON
State IL
Zip Code 61571-3442

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366514895 Michael Fosselman Dentist 106 S Cummings Ln, Washington, IL 61571-3442 2006-11-13

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City WASHINGTON
Zip Code 61571

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Dataset Information

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.

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