Organization
TIMOTHY E. MOORE, DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY EDWARD MOORE DDS (PRESIDENT)
(918) 494-7676
Entity
Organization
Contact information
Practice address
7134 S YALE AVE, SUITE #400, TULSA, OK 74136-6372
(918) 494-7676
(918) 494-0806
Mailing address
7134 S YALE AVE, SUITE #400, TULSA, OK 74136-6372
(918) 494-7676
(918) 494-0806
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3981
OK
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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