VANESSA MARIE MOORE (NPI# 1336794155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336794155 |
| Entity Type | Individual |
| Full Name | VANESSA MARIE MOORE |
| Credential | DDS |
| Practice Address |
808 S 5th Ave Denton MD 21629-1398 |
| Practice Telephone | 4104792650 |
| Practice Fax Number | 3391610128 |
| Mailing Telephone | 4104792650 |
| Mailing Fax Number | 3391610128 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
17059 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043794902 | Vanessa Moore | Behavior Technician | 7609 Hidden Creek Dr, Charlotte, NC 28214-8893 | 2018-09-17 |
| 1497093546 | Vanessa Josephine Moore | Specialist | 2612 Dogwood Ave, Pt D19, Thunderbolt, GA 31404-3239 | 2013-01-24 |
| 1457639197 | Vanessa Moore | Speech-Language Pathologist | 3400 West Massingale Road, Tucson, AZ 85741 | 2011-07-29 |
| 1831321512 | Vanessa Moore | Non-emergency Medical Transport (VAN) | 37621 N 3rd Ave, Slidell, LA 70460-4426 | 2009-08-14 |
| 1538287354 | Vanessa Kay Moore | Home Health Aide | 901 Willow Brook Ct, Dayton, OH 45424-8023 | 2007-03-27 |
| 1164574000 | Vanessa K Moore | Psychiatry & Neurology | 5500 Guhn Rd Ste 100, Houston, TX 77040-6162 | 2007-01-18 |
| 1508494535 | Vanessa Kaitlyn Moore | Behavior Technician | 2266 South Dobson Road, Mesa, AZ 85202 | 2020-03-27 |
| 1861726853 | Vanessa Moore | Counselor | 502 Farrell Dr, Covington, KY 41011-3717 | 2009-09-24 |
| 1255525770 | Vanessa L Moore | Registered Nurse | 2900 W 16th Street, Bedford, IN 47446 | 2007-08-28 |
| 1538268180 | Vanessa Lynn Moore | Psychologist | 50 Irving St Nw, Washington, DC 20422-0001 | 2006-09-21 |
| Street Address |
808 S 5TH AVE |
| City | DENTON |
| State | MD |
| Zip Code | 21629-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023008000 | Lisa Diane Urban | Pediatrics | 808 S 5th Ave, Denton, MD 21629-1398 | 2005-10-21 |
| 1750918447 | Sarah Lindsay Czyz | Dental Hygienist | 808 S 5th Ave, Denton, MD 21629-1398 | 2020-03-24 |
| 1720615487 | Carrie Arvonda Secrist Simpler | Dental Hygienist | 808 S 5th Ave, Denton, MD 21629-1398 | 2020-03-24 |
| 1619524477 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-26 |
| 1073160305 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-21 |
| 1255858122 | Elizabeth Anne Buckshaw | Physician Assistant | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-08-23 |
| 1962932897 | Cameron Moore | Family Medicine | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-06-13 |
| 1164953790 | Adeline Lee Melvin | Pediatrics | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-03-24 |
| 1407263072 | John Matthews Eglseder II | Physician Assistant | 808 S 5th Ave, Denton, MD 21629-1398 | 2014-07-16 |
| 1801229133 | Megan Wojtko | Nurse Practitioner | 808 S 5th Ave, Denton, MD 21629-1398 | 2013-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1447385562 | Yvette Vernor Dye | Dentist | 2548 Lillian Miller Pkwy #120, Denton, TX 76210-7212 | 2007-02-22 |
| 1407867567 | Hamilton L Jones | Dentist | 1212 Bent Oaks Crt, # 100, Denton, TX 76210 | 2006-08-11 |
| 1417366998 | Pediatric Dentistry of Denton | Dentist | 2185 Brinker Rd, Suite 110, Denton, TX 76208-6986 | 2014-08-08 |
| 1588940928 | Dr. Hamilton L Jones D.d.s., M.s.d | Dentist | 1212 Bent Oaks Ct, Suite 100, Denton, TX 76210-8061 | 2011-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295385698 | Just 4 Kidz Dentistry, LLC | Dentist | 12250 Rockville Pike Ste 200, Rockville, MD 20852-1669 | 2019-09-17 |
| 1033761960 | Caroline Larosiliere Dds and Associates | Dentist | 10605 Greenbelt Rd, Lanham, MD 20706-2274 | 2019-07-11 |
| 1720562507 | Arundel Pediatric Dental Care | Dentist | 8531 Veterans Hwy Ste 103, Millersville, MD 21108-2653 | 2018-09-18 |
| 1083192884 | Chang & Phan Dental, LLC | Dentist | 451 Hungerford Dr Ste 100, Rockville, MD 20850-5102 | 2018-08-02 |
| 1710473731 | Marlborough Village Pediatric Dental | Dentist | 5098 Brown Station Rd Ste 260, Upper Marlboro, MD 20772-9124 | 2018-07-02 |
| 1184116618 | Kiddie Cavity Care Thmd, LLC | Dentist | 3743 Branch Ave Ste A, Temple Hills, MD 20748-1408 | 2018-05-31 |
| 1851881999 | Haider Alshami | Dentist | 650 W Baltimore St, Baltimore, Md 21201, 3rd Flood, Baltimore, MD 21286 | 2018-05-15 |
| 1306335468 | Adam Elrafei | Dentist | 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 | 2018-05-04 |
| 1285121137 | Zamora Kids Dentistry, P.a. | Dentist | 1350 Blair Dr Ste I, Odenton, MD 21113-1333 | 2018-04-17 |
| 1336659721 | Tyson Bross Dmd Phd LLC | Dentist | 129 Lubrano Dr Ste 300, Annapolis, MD 21401-7568 | 2017-10-11 |
| Find all providers with the same taxonomy | ||||
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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.