Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Timothy C. Moore, DDS, Msd, PC

Organization Prosthodontics · NPI 1578759437

Timothy C. Moore, DDS, Msd, PC provides 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 Not confirmed with CMS for 19 years — call before visiting
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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