Individual provider · Type 1 NPI
Mark Timothy Moore, D.D.S
Orthodontics and Dentofacial Orthopedics Dentistry · Jamestown, NC
Practice location
806 W Main St
Jamestown, NC 27282-9508
Fax (336) 454-1193
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 5616 (NC) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1861628745
Mark Timothy Moore, D.D.S's National Provider Identifier is 1861628745, issued on Jun 5, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jamestown, NC. The record was last updated on Jun 5, 2009.