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Dr. Timothy Charles Moore, DDS,MSD
Prosthodontist in Grand Rapids, Michigan
NPI 1679599930

Timothy Charles Moore is a Prosthodontist based in Grand Rapids, MI and is specialized in Prosthodontics. Timothy Charles Moore practices in Grand Rapids, MI and has the professional credentials of DDS,MSD. The NPI Number for Timothy Charles Moore is 1679599930 and holds a License No. 2901010163 (Michigan).

The current practice location address for Timothy Charles Moore is 826 Parchment Dr Se, Grand Rapids, MI and can be reached out via phone at 616-285-9509 and via fax at 616-285-8856.

Location: 826 Parchment Dr Se, Grand Rapids, MI, 49546-2374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679599930
Provider Name
Timothy Charles Moore
Credential
DDS,MSD
Provider Entity Type
Individual
Gender
Male
Address
826 Parchment Dr Se, Grand Rapids, MI, 49546-2374
Phone Number
616-285-9509
Fax Number
616-285-8856
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
826 Parchment Dr Se
City
Grand Rapids
State
Michigan
Zip
49546-2374
Phone Number
616-285-9509
Fax Number
616-285-8856
person
Provider Business Mailing Address Details
Address
826 Parchment Dr Se
City
Grand Rapids
State
Michigan
Zip
49546-2374
Phone Number
616-285-9509
Fax Number
616-285-8856
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
2901010163 (Michigan)
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.
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