Timothy Moore, DDS,MSD

NPI 1679599930 · on the registry since 2006 · sole proprietor

Practice

Address: 826 Parchment Dr Se
Suite # 200
Grand Rapids, MI 49546
Phone: (616) 285-9509
Fax: (616) 285-8856
Organisation at this address: Careatc
Mantra Llc
Inner X Section
Krogman Counseling
Mercy Health Partners
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Prosthodontics
1223P0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan