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DR. TIMOTHY CHARLES MOORE DDS,MSD
NPI 1679599930
Dentist - Prosthodontics in Grand Rapids, MI

Active since July 13, 2006
826 PARCHMENT DR SE, SUITE # 200, GRAND RAPIDS, MI 49546(616) 285-9509(616) 285-8856 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy Charles Moore Dds,msd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY CHARLES MOORE DDS,MSD (NPI 1679599930) is an individual prosthodontics provider in Grand Rapids, Michigan, licensed in Michigan (2901010163) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1679599930
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. TIMOTHY CHARLES MOORECredential: DDS,MSD
Location Address826 PARCHMENT DR SE, SUITE # 200Grand Rapids, MI 49546-2374
Mailing Address826 Parchment Dr Se, Suite # 200Grand Rapids, MI 49546-2374 · (616) 285-9509 · Fax (616) 285-8856
Phone(616) 285-9509
Fax(616) 285-8856
Sole ProprietorYes
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1679599930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in MI · 2901010163
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
826 PARCHMENT DR SE, Grand Rapids, MI 49546
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAREATC - GRAND RAPIDS
Clinic/Center (Primary Care)
826 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 604-4104
CAREATC
Clinic/Center (Primary Care)
826 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Kent County (800) 993-8244
TIMOTHY C. MOORE, DDS, MSD, PC
Dentist (Prosthodontics)
826 PARCHMENT DR SE, SUITE # 200
GRAND RAPIDS, MI 49546
Kent County (616) 285-9509
TYLER KREGEL LLMSW
Social Worker
826 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 915-5090
EMILY MARGARET FORZLEY
Dietitian, Registered
826 PARCHMENT DR SE, SUITE 100
GRAND RAPIDS, MI 49546
Kent County (616) 957-7700
KROGMAN COUNSELING
Counselor (Mental Health)
826 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 676-7280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Moore's NPI number?

The NPI number for Timothy Moore is 1679599930. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Timothy Moore located?

Timothy Moore practices at 826 Parchment Dr SE Suite # 200, Grand Rapids, MI 49546. The listed phone number is (616) 285-9509.

What is Timothy Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Timothy Moore was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.