W.JIM MOORE, JR. D.D.S.,LTD. (NPI# 1215139464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215139464 |
| Entity Type | Organization |
| Organization Name | W.JIM MOORE, JR. D.D.S.,LTD. |
| Practice Address |
3024 S Olive St Pine Bluff AR 71603-5438 |
| Practice Telephone | 8705362650 |
| Practice Fax Number | 8705363820 |
| Mailing Telephone | 8705362650 |
| Mailing Fax Number | 8705363820 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. W. JIM MOORE JR. (OWNER) |
| Authorized Official Telephone | 8705362650 |
| Authorized Official Credential | D.D.S., M.S.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2165 | AR | Dental Providers |
| Street Address |
3024 S OLIVE ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-5438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053525642 | Jason Timmons, Dds, Pa | Dentist | 4301 S Mulberry St Ste A, Pine Bluff, AR 71603-7005 | 2007-05-10 |
| 1023159332 | Fred Tucker Mcdonald | Dentist | 3900 S Olive St, Pine Bluff, AR 71603-6745 | 2007-02-09 |
| 1255425765 | William J Moore Jr. | Dentist | 3024 Olive Street, Pine Bluff, AR 71603 | 2006-10-02 |
| 1235347303 | Harry L. Ryburn | Dentist | 4301 S Mulberry St, Suite A, Pine Bluff, AR 71603-7017 | 2007-05-20 |
| 1194866418 | Ft Mcdonald Dds Ltd | Dentist | 3900 S Olive St, Pine Bluff, AR 71603-6745 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605908 | Shannon Candid Arkansas, P.a. | Dentist | 900 Se 5th St Ste 22t, Bentonville, AR 72712-6090 | 2020-09-23 |
| 1982229985 | Kolin E. Weaver, Dds, Ms, Inc. | Dentist | 2316 Red Wolf Blvd Ste C, Jonesboro, AR 72401-6360 | 2020-06-15 |
| 1447875729 | Wardlaw Orthodontics, P.a. | Dentist | 8315 Cantrell Rd Ste 100, Little Rock, AR 72227-2354 | 2020-06-11 |
| 1659922904 | Hodge Orthodontics | Dentist | 2924 Kavanaugh Blvd, Little Rock, AR 72205-3719 | 2019-09-26 |
| 1700346772 | Ashcraft Orthodontics Pllc | Dentist | 23 Shackleford Dr Ste A, Little Rock, AR 72211-2990 | 2019-03-25 |
| 1518434398 | Michelle Lien Clinton Munoz | Dentist | 1917 Reveille Cir, Jacksonville, AR 72076-9157 | 2018-10-30 |
| 1376057562 | Freeman Mobile Orthodontics, Pllc | Dentist | 803 Quandt Ave, Springdale, AR 72764-5352 | 2017-11-27 |
| 1265954432 | David Bell | Dentist | 1455 Harrison St, Batesville, AR 72501-7220 | 2017-07-10 |
| 1467984716 | Axpm-harrison Pllc | Dentist | 303 Eureka Ave, Berryville, AR 72616-3833 | 2017-03-28 |
| 1740720101 | Clayton L Owen Dds, Pa | Dentist | 1306 S Pine St, Cabot, AR 72023-3812 | 2017-03-06 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.