Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy C. Moore, DDS, Msd, PC

Organization Prosthodontics · NPI 1578759437

Timothy C. Moore, DDS, Msd, PC is a Prosthodontics in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

826 Parchment Dr SE Ste # 200
Grand Rapids, MI 49546-2374
Phone: (616) 285-9509
Fax: (616) 285-8856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 2901010163 (MI)

Record details

NPI number1578759437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Moore — President · (616) 285-9509
NPI enumeratedSeptember 24, 2007
Last updated in NPPESSeptember 24, 2007
Mailing address826 Parchment Dr Se, Suite # 200, Grand Rapids, MI 49546-2374

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