MRS. TERRY A MOORE (NPI# 1437485398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437485398 |
| Entity Type | Individual |
| Full Name | MRS. TERRY A MOORE |
| Credential | RDH |
| Practice Address |
2200 Fort Roots Dr Dental Service/ 160-nlr North Little Rock AR 72114-1709 |
| Practice Telephone | 5012572200 |
| Practice Fax Number | 5012572100 |
| Mailing Telephone | 5012572200 |
| Mailing Fax Number | 5012572100 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH818 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548386824 | Terry L Moore | Dentist | 500 Boyd Court, Colleyville, TX 76020 | 2007-03-21 |
| 1720158405 | Terry Francis Moore | Dentist | 176 N Ocean Ave, Cayucos, CA 93430 | 2006-11-09 |
| 1114014867 | Terry L. Moore | Internal Medicine | 3660 Vista Ave., St. Louis, MO 63110 | 2006-10-06 |
| 1225045891 | Terry Wayne Moore | Chiropractor | 507 Rollingbrook St, Baytown, TX 77521-4036 | 2006-08-03 |
| 1477571727 | Terry M Moore | Registered Nurse | 120 W Washington St, Nashville, NC 27856-1378 | 2006-07-17 |
| 1750319604 | Terry W Moore | Counselor | 6100 Richmond Ave, Suite 120, Houston, TX 77057-6228 | 2006-06-29 |
| 1841831534 | Terry Lynn Moore | Counselor | 5467 Rogers Hill Rd, West, TX 76691-2415 | 2019-10-03 |
| 1912556101 | Terry Frances Moore | Physical Therapy Assistant | 1720 17th St, Huntington, WV 25701-4235 | 2019-09-10 |
| 1568850493 | Terry Moore | Occupational Therapy Assistant | 1205 Leitchfield Rd, Owensboro, KY 42303-0861 | 2014-12-30 |
| 1053739987 | Terry Moore | Technician, Other | 1800 Mercy Dr, Suite 320, Orlando, FL 32808-5646 | 2014-03-28 |
| Street Address |
2200 FORT ROOTS DR DENTAL SERVICE/ 160-NLR |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388401 | Ivy V Mcgee | Family Medicine | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2005-07-07 |
| 1477161586 | Kaila Mitchell | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-07-15 |
| 1689200040 | Tonie Brenee' Williams | Social Worker | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-03-18 |
| 1447899646 | Eugenia Boozer | Clinical Neuropsychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-01-06 |
| 1376181263 | Linda Shrader | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114 | 2019-12-11 |
| 1205470507 | Julie Renee Thyberg | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-10-30 |
| 1588215966 | Venius Vernester Russell | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-26 |
| 1538718119 | Mary Kathryn Martin | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-06 |
| 1689223596 | Meriline White | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-04 |
| 1124677943 | Felicia Clayton | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| Find all providers in zip 72114 | ||||
| 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 |
|---|---|---|---|---|
| 1033512678 | Robin Cristy Ruppert | Dental Hygienist | 2200 Fort Roots Dr, Bldg. 32- Room 109, North Little Rock, AR 72114-1709 | 2014-09-26 |
| 1427324235 | Ayesha Denae Foote | Dental Hygienist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2012-03-26 |
| 1740482769 | Polly Fair Baker | Dental Hygienist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009682 | Suguey Martinez | Dental Hygienist | 104 W Locke Ave, De Queen, AR 71832-2380 | 2020-06-26 |
| 1447653431 | Stacey Fletcher | Dental Hygienist | 908 W Laura St, Rogers, AR 72758-6509 | 2014-10-03 |
| 1689912644 | Kathryn Dowell | Dental Hygienist | 12921 Cantrell Rd Ste 101, Little Rock, AR 72223-1798 | 2013-01-27 |
| 1093941627 | Jane Miranda Miles | Dental Hygienist | 312 Short Street, Benton, AR 72015 | 2009-06-10 |
| 1265643720 | Carol R. Dennis | Dental Hygienist | 3518 Lacrosse, Bryant, AR 72022-9314 | 2007-05-25 |
| 1013928381 | Audra M Hamilton | Dental Hygienist | 623 N 9th Street, Augusta, AR 72006 | 2006-08-11 |
| 1891271847 | Cathy Dawson | Dental Hygienist | 135 Cash Rd Nw, Camden, AR 71701-3833 | 2018-07-12 |
| 1477039428 | Leah Pope | Dental Hygienist | 135 Cash Rd Nw, Camden, AR 71701-3833 | 2018-07-12 |
| 1891135083 | Terry L. Watson Dmd Pa | Dental Hygienist | 1171 Highway 62 412, Ash Flat, AR 72513-9612 | 2013-07-02 |
| 1972940914 | Kiala Jean Kirby | Dental Hygienist | 2606 Browns Ln, Jonesboro, AR 72401-7226 | 2013-05-31 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
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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.