DR. FREDERICK MOORE (NPI# 1215157060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215157060 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK MOORE |
| Credential | DMD |
| Practice Address |
643 Main St Palmetto GA 30268-1138 |
| Mailing Address |
294 Glenwood Ave Se Atlanta GA 30312-3155 |
| Practice Telephone | 7704634644 |
| Mailing Telephone | 7062316584 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2012-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN013353 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695857 | Frederick Henry Moore Jr. | Specialist | 14000 Lakeside Cir, Sterling Heights, MI 48313-1320 | 2019-12-04 |
| 1497800403 | Frederick Dm Moore | Orthopaedic Surgery | 501 Hungerford Dr Apt 461, Rockville, MD 20850-5154 | 2007-01-23 |
| 1144380643 | Frederick Ernest Moore | Family Medicine | 189 County Park Rd., Yanceyville, NC 27379 | 2006-12-12 |
| 1174708010 | Frederick Thomas Moore | Dentist | 173 Ashley Ave, Bsb 249, Charleston, SC 29425-8908 | 2008-01-09 |
| 1992743850 | Frederick A Moore | Surgery | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-03 |
| 1104876440 | Frederick Stephen Moore | Internal Medicine | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2006-05-10 |
| Street Address |
643 MAIN ST |
| City | PALMETTO |
| State | GA |
| Zip Code | 30268-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388906 | Hector J. Viera | Dentist | 643 Main St, Palmetto, GA 30268-1138 | 2005-07-01 |
| 1730674045 | Elizabeth Maria Zarantonello | Nurse Practitioner | 643 Main St, Palmetto, GA 30268-1138 | 2018-06-28 |
| 1699167684 | Ashleigh Elise Heath | Nurse Practitioner | 643 Main St, Palmetto, GA 30268-1138 | 2015-02-27 |
| 1528322922 | Gabriela Pena | Family Medicine | 643 Main St, Palmetto, GA 30268-1138 | 2012-06-29 |
| 1447561501 | Adam Joseph Barefoot | Dentist | 643 Main St, Palmetto, GA 30268-1138 | 2010-06-23 |
| 1437488426 | Palmetto Health Council, Inc. | Pharmacy | 643 Main St, Palmetto, GA 30268-1138 | 2009-12-22 |
| 1184884678 | Palmetto Health Council Inc | Family Medicine | 643 Main St, Palmetto, GA 30268-1138 | 2008-06-10 |
| 1942424221 | Nasser Issa Fiqia | Dentist | 643 Main St, Palmetto, GA 30268-1138 | 2007-04-11 |
| 1609944917 | Milanieva Latorre | Family Medicine | 643 Main St, Palmetto, GA 30268-1138 | 2006-12-04 |
| 1699843953 | Isabel Maria Soles | Family Medicine | 643 Main St, Palmetto, GA 30268-1138 | 2006-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521491 | Hla Ambulance LLC | Ambulance | 43 Amanda Ln, Palmetto, GA 30268 | 2020-09-03 |
| 1134779424 | Center for Positive Change LLC | Counselor | 11207 Serenbe Lane, Hills, GA 30268 | 2019-09-18 |
| 1336397868 | Key David Mcmurrain Jr. | Preventive Medicine | 10180 Capps Ferry Road, Palmetto, GA 30268 | 2008-09-09 |
| 1548333115 | Carolyn E Johnson | Registered Nurse | 507 Park Street, Palmetto, GA 30268 | 2006-11-15 |
| 1386710796 | Gary Lane Watts | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2006-11-28 |
| 1285707455 | Angela P. Shannon | Psychiatry & Neurology | 507 Park St, Palmetto, GA 30268-1007 | 2006-11-16 |
| 1952967234 | Palmetto Health Council, Inc. | Clinic/Center | 507 Park St, Palmetto, GA 30268-1007 | 2019-05-13 |
| 1447791835 | Lyzette Santiago Rodriguez | Counselor | 507 Park St, Palmetto, GA 30268-1007 | 2017-03-17 |
| 1841580560 | Palmetto Family Dental, PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2011-04-14 |
| 1861631053 | Jordan Albert Brunson | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2009-02-11 |
| Find all providers in zip 30268 | ||||
| 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 |
|---|---|---|---|---|
| 1700265485 | Noel Keyzer | Dentist | 579 10th St E, Palmetto, FL 34221-4013 | 2015-05-27 |
| 1134381940 | Bradley Thomas Hume | Dentist | 317 7th St. W., Palmetto, FL 34221-5206 | 2008-07-02 |
| 1417169327 | Karl J Thoreson | Dentist | 919 6th St W, Palmetto, FL 34221-4607 | 2007-05-04 |
| 1386710796 | Gary Lane Watts | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2006-11-28 |
| 1164915419 | Andres Alberto | Dentist | 579 10th St E, Palmetto, FL 34221-4013 | 2018-06-12 |
| 1285024265 | Palmetto Dental Center LLC | Dentist | 317 7th St W, Palmetto, FL 34221-5206 | 2015-01-29 |
| 1417374331 | Allcare Health Networks LLC | Dentist | 700 8th Ave W, Suite 101, Palmetto, FL 34221-4737 | 2014-03-28 |
| 1841580560 | Palmetto Family Dental, PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2011-04-14 |
| 1861631053 | Jordan Albert Brunson | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2009-02-11 |
| 1760507255 | Gary L. Watts Dmd PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2007-03-21 |
| Find all providers in PALMETTO | ||||
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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.