ROBERT L MOORE DDS (NPI# 1104083740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104083740 |
| Entity Type | Organization |
| Organization Name | ROBERT L MOORE DDS |
| Practice Address |
1717 W 6th Ave Stillwater OK 74074 |
| Mailing Address |
1717 W 6th Ave Stillwater OK 74074-4200 |
| Practice Telephone | 4056248955 |
| Practice Fax Number | 4057433366 |
| Mailing Telephone | 4056248955 |
| Mailing Fax Number | 4057433366 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | DR. ROBERT L MOORE (DENTIST OWNER) |
| Authorized Official Telephone | 4056248955 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4620 | OK | Dental Providers |
| Street Address |
1717 W 6TH AVE |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174960876 | Lauren Huffaker | Dentist | 2200 N Perkins Rd, Stillwater, OK 74075-3076 | 2013-06-04 |
| 1881730729 | John Walter Coffey | Dentist | 806 S Pine Street, Stillwater, OK 74074 | 2007-01-29 |
| 1922160332 | Daniel Theodore Johnson Jr. | Dentist | 5995 Oren Ave North, Suite 101, Stillwater, MN 55082-5302 | 2006-12-14 |
| 1306918545 | Michael John Junker | Dentist | 6143 Osgood Ave N, Stillwater, MN 55082-6188 | 2006-11-14 |
| 1063510188 | Lois F Duerst | Dentist | 1395 Curve Crest Blvd W, Stillwater, MN 55082-6069 | 2006-09-20 |
| 1043221153 | Polly Jo Courtney Logan | Dentist | 13961 60th St, St Croix Valley Dental, Stillwater, MN 55082 | 2006-08-11 |
| 1790795235 | Breynne Stacey Fordahl | Dentist | 14727 60th St. N, Stillwater, MN 55082 | 2006-08-08 |
| 1316988983 | James E Palmer | Dentist | 2121 W 6th Ave, Stillwater, OK 74074-4136 | 2006-06-08 |
| 1740259464 | St. Croix Valley Dental, Pllc | Dentist | 13961 60th St. North, Stillwater, MN 55082 | 2006-03-15 |
| 1134196462 | Marc Rochus Roehrich | Dentist | 14727 60th St N, Stillwater, MN 55082-6323 | 2006-03-06 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
Please comment or provide details below to improve the information on ROBERT L MOORE DDS.
| 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.