DR. KENT E. MOORE (NPI# 1851325260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851325260 |
| Entity Type | Individual |
| Full Name | DR. KENT E. MOORE |
| Credential | M.D., D.D.S. |
| Practice Address |
2711 Randolph Rd Suite 510 Charlotte NC 28207-2034 |
| Practice Telephone | 7043588898 |
| Practice Fax Number | 7043588889 |
| Mailing Telephone | 7043588898 |
| Mailing Fax Number | 7043588889 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5366 | NC | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 5366 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205895984 | Kent Moore | Emergency Medicine | 2375 E Prater Way, Sparks, NV 89434-9641 | 2006-03-21 |
| Street Address |
2711 RANDOLPH RD SUITE 510 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233279 | David W Mcallister | Obstetrics & Gynecology | 2711 Randolph Rd, Ste 512, Charlotte, NC 28207-2027 | 2005-05-23 |
| 1821521451 | Prestige Health & Wellness Center, Pllc | Clinic/Center | 2711 Randolph Rd, Suite 207, Charlotte, NC 28207-2034 | 2017-04-10 |
| 1558804203 | Nancy D. Marvin | Nurse Practitioner | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2016-11-29 |
| 1295108454 | Py Hearing and Communication Center | Audiologist | 2711 Randolph Rd, Suite 307, Charlotte, NC 28207-2034 | 2015-11-09 |
| 1588052765 | Veronica Laplante Rankin | Nurse Practitioner | 2711 Randolph Rd, Charlotte, NC 28207-2034 | 2014-12-22 |
| 1205238466 | Brittney Foreman Mcguirt | Physician Assistant | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2014-09-19 |
| 1720493083 | Anne Poutier | Nurse Practitioner | 2711 Randolph Rd, Charlotte, NC 28207-2034 | 2014-06-25 |
| 1134533540 | Sean Henriquez | Speech-Language Pathologist | 2711 Randolph Rd, Suite 509, Charlotte, NC 28207-2034 | 2014-06-13 |
| 1689090474 | Brandie Buckingham | Physician Assistant | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2014-03-17 |
| 1144653205 | Samuel Jackson Burrow Iv | Dentist | 2711 Randolph Rd, Suite 600, Charlotte, NC 28207-2034 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960532 | Zammitti Gidaly Abrams Cohen & Associates, P.C. | Oral & Maxillofacial Surgery | 4009 Corning Pl Ste E3, Charlotte, NC 28216-1310 | 2020-01-02 |
| 1881634533 | Edward S Alessandrini | Oral & Maxillofacial Surgery | 8918 Blakeney Professional Dr., Suite 130, Charlotte, NC 28277 | 2006-06-08 |
| 1083695043 | Amir H Marashi | Oral & Maxillofacial Surgery | 10035 Park Cedar Dr, Suite 300, Charlotte, NC 28210-8911 | 2005-11-08 |
| 1649475005 | John Carson Nale | Oral & Maxillofacial Surgery | 411 Billingsley Rd, Suite 105, Charlotte, NC 28211-1046 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740611706 | Mark C. Austin Omfs, Pllc | Oral & Maxillofacial Surgery | 2001 South Baxter Drive, Leland, NC 28451 | 2013-12-02 |
| 1497931976 | Drs Coleman & Coleman | Oral & Maxillofacial Surgery | 19910 North Cove Rd, Cornelius, NC 28031 | 2008-01-15 |
| 1306042122 | Elda Lambert Fisher | Oral & Maxillofacial Surgery | Unc Hospitals 149 Brauer Hall Cb 7450, Chapel Hill, NC 27599-0001 | 2007-06-27 |
| 1508997883 | Carolina Surgical Arts Pa | Oral & Maxillofacial Surgery | 2516 Oakcrest Ave, Suite B, Greensboro, NC 27408-1932 | 2007-03-08 |
| 1659444776 | David Jason Mohorn | Oral & Maxillofacial Surgery | 408 Parkway, Suite A1, Greensboro, NC 27401-1661 | 2006-11-16 |
| 1154494284 | James W Belcher Jr. | Oral & Maxillofacial Surgery | 301 East Wendover Ave Suite 111, Piedmont Oral Maxillofacial Fac Ctr, Greensboro, NC 27401 | 2006-11-16 |
| 1841388188 | Allen Todd Smith | Oral & Maxillofacial Surgery | 1601 South Hawthorne Rd, Winston Salem, NC 27103-4127 | 2006-10-11 |
| 1447364666 | Dewey G Carter | Oral & Maxillofacial Surgery | 853 Heather Rd, Burlington, NC 27215-6288 | 2006-08-17 |
| 1821005976 | Asheville Radiology Associates | Oral & Maxillofacial Surgery | 84 Coxe Ave, Asheville, NC 28801-4167 | 2006-08-02 |
| 1194784272 | William A Streiff | Oral & Maxillofacial Surgery | 550 North Main St, Salisbury, NC 28144 | 2006-03-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KENT E. MOORE.
| 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.