MS. TRACYE A. MOORE (NPI# 1376657825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376657825 |
| Entity Type | Individual |
| Full Name | MS. TRACYE A. MOORE |
| Credential | RDH, BS, MS |
| Practice Address |
Naval Health Clinic Joint Reserve Base Dental Department Bldg 137 Willow Grove PA 19090 |
| Mailing Address |
324 E Phil Ellena St Philadelphia PA 19119-1941 |
| Practice Telephone | 2154436380 |
| Practice Fax Number | 2154436378 |
| Mailing Telephone | 2154386199 |
| Mailing Fax Number | 2154436378 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH008983L | PA | Dental Providers |
| Street Address |
NAVAL HEALTH CLINIC JOINT RESERVE BASE DENTAL DEPARTMENT BLDG 137 |
| City | WILLOW GROVE |
| State | PA |
| Zip Code | 19090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122495 | Orna Kempler Azulay | Speech-Language Pathologist | 3515 W Moreland Rd, Willow Grove, PA 19090 | 2020-07-31 |
| 1396205654 | Randi Lynn Murat | Physical Therapist | 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 | 2019-03-22 |
| 1780173690 | Garden Spring Center Snf LLC | Skilled Nursing Facility | 1113 North Easton Road, Willow Grove, PA 19090 | 2018-05-07 |
| 1740778976 | Dean Depice | Chiropractor | 1031 North York Rd, Willow Grove, PA 19090 | 2018-04-24 |
| 1679081095 | Darnell Marie Lorick | Registered Nurse | 1553 Rothley Ave, Willow Grove, PA 19090 | 2018-01-19 |
| 1750809364 | Eileen Black | Counselor | 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 | 2017-09-03 |
| 1538615760 | Sarah Herstich | Social Worker | 208 N Easton Rd, Willow Grove, PA 19090 | 2016-08-28 |
| 1902252091 | Christina Amodei | Physical Therapist | 2519 Maryland Rd #250, Willowgrove, PA 19090 | 2016-05-09 |
| 1568838340 | Insights Counseling & Consulting LLC | Counselor | 2300 Computer Ave., C13, Willow Grove, PA 19090 | 2015-08-17 |
| 1376949016 | Courtney M Dedda | Physical Therapist | 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 | 2014-11-07 |
| Find all providers in zip 19090 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724794 | Ana Garcia Velazco | Dental Hygienist | 450 Gibner Rd Ste 2, Carlisle, PA 17013-5095 | 2020-09-10 |
| 1992320055 | Jennifer Hoch | Dental Hygienist | 100 S Broad St Ste 2000, Philadelphia, PA 19110-1009 | 2020-06-14 |
| 1003456401 | Cheryl Ann Ross | Dental Hygienist | 1901 Dartmouth St, Camp Hill, PA 17011-3832 | 2020-01-14 |
| 1477191047 | Kathy Pursel | Dental Hygienist | 1510 Chester Pike Ste 200, Eddystone, PA 19022-1377 | 2019-12-14 |
| 1548807472 | Dawn Dudley | Dental Hygienist | 424 S 1st St, Duquesne, PA 15110-1115 | 2019-12-10 |
| 1700421823 | Alaina Stango | Dental Hygienist | 3815 Saltsburg Rd, Clarksburg, PA 15725-7801 | 2019-11-13 |
| 1124662515 | Allison Bruno | Dental Hygienist | 2360 Harrison City Rd, Export, PA 15632-8912 | 2019-10-29 |
| 1184267841 | Eugene W Moisey | Dental Hygienist | 107 S. Market St, Suite #2, Berwick, PA 18603 | 2019-10-24 |
| 1588207906 | Teresa Mcbreen | Dental Hygienist | 744 E Lincoln Hwy Ste 110, Coatesville, PA 19320-3590 | 2019-10-18 |
| 1437706926 | Jean Elizabeth Rath | Dental Hygienist | 160 E Erie Ave # N1-08, Philadelphia, PA 19134-1011 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW GROVE |
| Zip Code | 19090 |
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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.