STACEY D MOORE


Address: 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073
Phone: 4063954486

STACEY D MOORE (NPI# 1457837452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457837452
Entity Type Individual
Full Name STACEY D MOORE
Credential RDH
Practice Address 6850 Upper Box Elder Rd
Box Elder
MT 59521-9073
Practice Telephone 4063954486
Mailing Telephone 4063954486
Enumeration Date 2018-07-13
Last Update Date 2018-07-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist DEN-RDH-LIC-7906 MT Dental Providers

Other Providers STACEY MOORE

NPI Name Taxonomy Address Enumeration
1558872341 Stacey Brigham Moore Day Training, Developmentally Disabled Services 4321 Nw State Road 270, Bristol, FL 32321-2303 2017-10-19
1184153553 Stacey Hurst Moore Counselor 4020 Richards Rd Ste F, North Little Rock, AR 72117-2744 2017-06-08
1386075331 Stacey Moore Dietitian, Registered 5124 Roemer Lane, Sacramento, CA 95820-3033 2013-12-02
1942310404 Stacey Moore Pharmacist 2418 Sylvester Rd, Albany, GA 31705-2468 2006-08-30
1265085237 Stacey Moore Social Worker 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 2019-07-18
1184079873 Stacey Marie Moore Counselor 1509 Maple St, Scranton, PA 18505-2707 2016-04-29
1174913297 Stacey Moore Massage Therapist 440 Columbia Blvd, Saint Helens, OR 97051-1910 2015-01-27
1982887493 Stacey Denise Moore Surgery 1550 First Colony Blvd, Sugar Land, TX 77479-4000 2007-12-07
1225210206 Stacey L Moore Counselor 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2007-11-30
1275684268 Stacey J Moore Registered Nurse 1955 Dixie Hwy, Ste C, Ft Wright, KY 41011-2792 2007-01-16

Office Location

Street Address 6850 UPPER BOX ELDER RD
City BOX ELDER
State MT
Zip Code 59521-9073

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598802332 Rocky Boy Health Center Clinic/Center 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 2007-01-31
1023617958 Kayla Rae Sanders Registered Nurse 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 2020-10-21
1821608886 Elizabeth Rae Lodge Pole Registered Nurse 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 2020-08-05
1801405592 Lisa Gay Florea Registered Nurse 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 2020-07-28
1770102279 Elizabeth E Barnes Counselor 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 2020-04-14
1821617325 Dawnie Day Deberry Counselor 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 2020-04-14
1922648922 Karen Lynn Garland Pharmacist 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 2020-01-08
1780234765 David Jospeh Cease Technician, Pathology 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 2019-09-12
1215585294 Kathleen Audrey Parsons Counselor 6850 Upper Box Elder Rd, Box Elder, MT 59521 2019-09-03
1962054957 Chettha Paul Techo Counselor 6850 Upper Box Elder Rd, Box Elder, MT 59521 2019-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043864218 Gary Palladino Pharmacist 5050 Upper Box Elder Rd, Box Elder, MT 59521 2019-07-26
1821585209 Lisa Marie Scheresky O'neil Registered Nurse 6850 Upper Box Elder Road, Box Elder, MT 59521 2018-04-20
1437592789 Nat's Medical Supply Assisted Living Facility #74 Chestnut Street, Box Elder, MT 59521 2013-04-16
1194219253 Hilary Rose Warren Dentist 6850 Upper Box Elder Road, Box Elder, MT 59521 2018-06-21
1245441120 Rocky Boy Health Board Clinic Clinic/Center Rr 1, Box Elder, MT 59521 2007-05-24
1356552160 Mary Jane Deberry Counselor Rural Route 1 Box 664, Box Elder, MT 59521-0000 2007-05-24
1215147871 Darel Arvin Nelson Dentist Chippewa-cree Health Center Agency Street, Dental Clinic Division, Box Elder, MT 59521-0000 2007-05-23
1487086435 Box Elder Public Schools Local Education Agency (LEA) 205 Main St, Box Elder, MT 59521-0205 2013-08-01
1386639870 Krissa Kirby Psychologist 535 Clinic Rd E, Box Elder, MT 59521-8826 2005-09-12
1982057980 Stacy Tan Licensed Vocational Nurse 535 Clinic Rd E, Box Elder, MT 59521-8826 2016-07-14
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265915656 Pamela Dianne Emard Dental Hygienist 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 2018-09-11
1497010060 Amy Lois Brown Dental Hygienist Rr 1 Box 664, Box Elder, MT 59521-9797 2012-07-10
1154628956 Kelly Ann Lawson Dental Hygienist Rr 1 Box 664, Box Elder, MT 59521-9797 2011-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538790142 Melissa Ellen Kjos-peterson Dental Hygienist 206 Garland St, Kalispell, MT 59901-2509 2020-02-01
1114557501 Clancy Ann Casey Dental Hygienist 3774 Joelle Dr, Helena, MT 59602-6102 2020-01-24
1598395733 Carissa Lee-cossel Allen Dental Hygienist 465 Taylor Dr, Dillon, MT 59725-7104 2020-01-16
1487299855 Into The Groove Dental Hygienist 4925 Foothill Rd, Butte, MT 59701-7047 2019-11-08
1710538228 Eric Thomas Hill Dental Hygienist 203 Business Center Loop, Kalispell, MT 59901-6885 2019-09-25
1912557653 Summor Kilgore Dental Hygienist 1099 Cowboy Way, Columbia Falls, MT 59912-9068 2019-09-15
1689228090 Christel Ann Riitano Dental Hygienist 702 Harrison Ave, Helena, MT 59601-2615 2019-07-25
1164984399 Nan'cee Neer-labbe Dental Hygienist 14555 Hellgate Lane, Clinton, MT 59825 2019-04-05
1881153286 Jill Ranae Ferdina Dental Hygienist 415 4th Ave S, Wolf Point, MT 59201-1639 2019-03-15
1861958183 Chanel Plasek Dental Hygienist 400 4th Ave W, Poplar, MT 59255-9455 2019-02-12
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Competitor

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City BOX ELDER
Zip Code 59521

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Dataset Information

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.

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