DR. JACK LOWELL MOORE


Address: 700 Sunrise Avenue, Suite C, Roseville, CA 95661-4561
Phone: 9167821209

DR. JACK LOWELL MOORE (NPI# 1982890331) 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) 1982890331
Entity Type Individual
Full Name DR. JACK LOWELL MOORE
Credential DDS
Practice Address 700 Sunrise Avenue
Suite C
Roseville
CA 95661-4561
Practice Telephone 9167821209
Practice Fax Number 9167821770
Mailing Telephone 9167821209
Mailing Fax Number 9167821770
Enumeration Date 2007-09-19
Last Update Date 2007-09-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
17346 CA Dental Providers

Other Providers JACK MOORE

NPI Name Taxonomy Address Enumeration
1891063236 Jack Moore Optometrist 3700 Martin Way E, #101, Olympia, WA 98506-5052 2011-12-13
1568470011 Jack L Moore Nurse Practitioner 777 Bannock St, Mc 7782, Denver, CO 80204-4507 2006-08-03
1164443529 Jack C Moore II Family Medicine 175 S English Station Rd Ste 226, Louisville, KY 40245 2006-07-21
1235170812 Jack W Moore Orthopaedic Surgery 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 2006-06-08
1104876606 Jack D Moore Specialist 4321 Washington St, 5300, Kansas City, MO 64111-5961 2006-05-12
1467426221 Jack Moore Specialist 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2006-02-16

Office Location

Street Address 700 SUNRISE AVENUE
SUITE C
City ROSEVILLE
State CA
Zip Code 95661-4561

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134777816 Aprildawn Mccarty Mccarty Behavior Technician 2125 Professional Dr, 100, Roseville, CA 95661 2019-08-27
1407409089 David Armel Gomez Croddy Dentist 2740 Carradale Drive, Roseville, CA 95661 2019-07-22
1699335612 Mowell Durable Medical Equipment & Medical Supplies 901 Sunrise, Roseville, CA 95661 2019-06-20
1578024998 Mystesia Lasan Hayes Behavior Technician 4121 Vittorio Dr., Roseville, CA 95661 2019-03-28
1033676457 The Place Within Counselor 720 Sunrise Ave #d115, Roseville, CO 95661 2019-02-21
1396217733 Tuyen Thi Thanh Nguyen Respiratory Therapist, Registered Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 2018-12-26
1982179776 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 1565 Eureka Road, Suite 5, Roseville, CA 95661 2018-10-08
1184106536 Sabita Kondle Marriage & Family Therapist 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 2018-09-02
1740787837 Sylvia A Atieno Nurse Practitioner Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 2018-04-06
1457875296 Good Works Psychophysiology and Physical Therapy Physical Therapist 1650 Leadhill Blvd, 600, Roseville, CA 95661 2017-08-02
Find all providers in zip 95661

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447884069 Jocelyn M. Robelli Dds, Ms, Pllc Dentist 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 2020-02-24
1205113859 Richard Knight Dentist 2520 Douglas Blvd Ste 130, Roseville, CA 95661-3993 2011-11-10
1780750539 Dental Specialists of Minnesota, Pllc Dentist 1835 County Road C-west, Suite 200, Roseville, MN 55113-1343 2006-11-24
1366448524 Linda Patricia Rafferty Dentist 2520 Douglas Blvd, Ste 130, Roseville, CA 95661-3993 2005-06-22
1295347805 Kerri S. Gustafson, Dds, Pllc, Dentistry for Children Dentist 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 2020-08-17
1033639463 Crutchfield Pediatric Dental Group Dentist 1253 Pleasant Grove Blvd Ste 190, Roseville, CA 95678-6983 2017-06-27
1336696426 Dmitriy Pivnik Dds Inc Dentist 721 Pleasant Grove Blvd Ste 150, Roseville, CA 95678-6181 2016-09-06
1275991721 Dmitriy Pivnik Dentist 721 Pleasant Grove Blvd Ste 150, Roseville, CA 95678-6181 2016-01-29
1760710834 Cassandra Krupansky Dentist 2520 Douglas Blvd, Suite 130, Roseville, CA 95661-3992 2009-11-30
1326242348 Kathryn Ann Moore Dentist 700 Sunrise Ave, #c, Roseville, CA 95661 2007-06-13
Find all providers in ROSEVILLE

Competitor

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City ROSEVILLE
Zip Code 95661

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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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