MOORE DENTAL CORPORATION (NPI# 1174774699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174774699 |
| Entity Type | Organization |
| Organization Name | MOORE DENTAL CORPORATION |
| Other Organization Name | BEAUMONT SMILES DENTAL GROUP |
| Practice Address |
1620 2nd Street Marketplace Suite A Beaumont CA 92223 |
| Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
| Practice Telephone | 9517699131 |
| Mailing Telephone | 7143682084 |
| Mailing Fax Number | 7143682092 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-20 |
| Authorized Official Name | ANDREA MOORE (OWNER DOCTOR) |
| Authorized Official Telephone | 9517699131 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| BEAUMONT SMILES DENTAL GROUP | Doing Business As Name - Organization |
| Street Address |
1620 2ND STREET MARKETPLACE SUITE A |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| Find all providers in zip 92223 | ||||
| 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 |
|---|---|---|---|---|
| 1407319213 | Legacy Dental of Beaumont Pllc | Dentist | 6480 Eastex Fwy Ste A, Beaumont, TX 77708-4336 | 2019-04-09 |
| 1821557604 | Tamarra Jean-chataigne | Dentist | 860 S 11th St Ste 101, Beaumont, TX 77701-3737 | 2019-03-19 |
| 1982199923 | Nikita Chandrakant Patel | Dentist | 5030 Oakmont Dr, Beaumont, TX 77706-7641 | 2018-06-22 |
| 1770008088 | Jonathan Howard Callahan | Dentist | 5892 Eastex Fwy Ste B, Beaumont, TX 77708-4824 | 2017-08-08 |
| 1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
| 1770860801 | Arthur Donald Shaw | Dentist | 3875 Laurel St, Beaumont, TX 77707-2219 | 2011-11-03 |
| 1356660260 | Ss Powers Dental, P.a. | Dentist | 4825 Concord Rd, Beaumont, TX 77703-1811 | 2010-05-18 |
| 1457509424 | Gaurav Puri | Dentist | 4400 Highland Ave, Beaumont, TX 77705 | 2008-09-03 |
| 1881864056 | David M Caldwell Dds PC | Dentist | 715 Orleans St, Beaumont, TX 77701 | 2008-03-04 |
| 1437328564 | Mitchell/zaw Dental Corporation | Dentist | 892 Oak Valley Parkway, Suite B, Beaumont, CA 92223 | 2008-02-22 |
| Find all providers in BEAUMONT | ||||
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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.