Jack Frank Moores in Sterling Heights - Oral And Maxillofacial Surgery
Jack Frank Moores - NPI 1003996760
Jack Frank Moores is a Oral And Maxillofacial Surgery in Sterling Heights, Michigan. Jack Frank Moores practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jack Frank Moores is 1003996760. The last update date is 2007-07-08.
Jack Frank Moores's current location address is 42051 Mound Rd, Sterling Heights, Michigan. You can contact this provider via phone number 5863237700 and fax number 5863237707. The mailing address for Jack Frank Moores is 42051 Mound Rd, Sterling Heights, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jack Frank Moores |
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Address | 42051 Mound Rd, Sterling Heights, Michigan |
Phone Number | 5863237700 |
Fax Number | 5863237707 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1003996760 |
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Provider Enumeration Date | 2006-10-17 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 42051 Mound Rd |
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City | Sterling Heights |
State | Michigan (MI) |
Post Code | 483143143 |
Phone Number | 5863237700 |
Fax Number | 5863237707 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 2901016423 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3111522 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jack Frank Moores by the Centers for Medicare & Medicaid Services (CMS)?
The Jack Frank Moores has been assigned the NPI (National Provider Identifier) 1003996760. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jack Frank Moores is located?
The Jack Frank Moores is situated at the following address: 42051 Mound Rd, Sterling Heights, MI, 483143143.
What is Jack Frank Moores's area of expertise and its corresponding taxonomy classification?
The Jack Frank Moores's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
When did Jack Frank Moores receive its 1003996760 assignment?
The Jack Frank Moores was assigned its 1003996760 on 2006-10-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Jack Frank Moores, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack Frank Moores, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1730182858
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