# SMILES & MOORE DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stillman & Moore Dental PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487379012
- **Authorized official:** DR. TERRANCE HENRY MOORE DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (248) 872-3333

## Contact information

- **Practice address:** 23923 MICHIGAN AVE, DEARBORN, MI 48124-1838
- **Practice address phone:** (313) 561-1260
- **Practice address fax:** (313) 561-0377
- **Mailing address:** 23923 MICHIGAN AVE, DEARBORN, MI 48124-1838
- **Mailing address phone:** (313) 561-1260
- **Mailing address fax:** (313) 561-0377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2022
- **Last updated:** 10/06/2022