Moore, Timothy Charles
Moore, Timothy Charles is an sole proprietor health care provider with primary practice located at 826 Parchment Dr Se Suite # 200, Grand Rapids MI 49546-2374. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Moore, Timothy Charles can be contacted via phone (616) 285-9509.Contact Information
Primary practice address
826 Parchment Dr Se Suite # 200
Grand Rapids MI 49546-2374
Phone: (616) 285-9509
Fax: (616) 285-8856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 2901010163 | Michigan |
Profile Details
| NPI number | 1679599930 |
|---|---|
| LBN Legal business name | Moore, Timothy Charles |
| Credentials | DDS,MSD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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