MEDICARE: JAMES T MOORE, DDS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11925	MO

General Provider Information

NPI Number	:	1619168861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES T MOORE, DDS, PC

Provider Business Mailing Address
First Line	:	11520 SAINT CHARLES ROCK RD
Second Line	:	SUTIE 205
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2732
Country	:	US
Telephone Number	:	314-298-7772
Fax Number	:	314-298-9895

Provider Business Practice Location Address
First Line	:	11520 SAINT CHARLES ROCK RD
Second Line	:	SUTIE 205
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2732
Country	:	US
Telephone Number	:	314-298-7772
Fax Number	:	314-298-9895

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES T MOORE
Credential	:	DDS
Telephone Number	:	314-298-7772

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	06/17/2008

Similar Medicare Providers

1306796073 — PAVILION HEALTH COMPANY, LLC
Practice Location Address:

11520 SAINT CHARLES ROCK RD STE 105A
BRIDGETON, MO
63044-2732

Practice Phone: 314-402-7432
Practice Fax:

1407826324 — RIMS HEALTH CARE INC
Practice Location Address:

11520 ST CHARLES ROCK RD , STE #115
BRIDGETON, MO
63044-2732

Practice Phone: 314-298-7002
Practice Fax: 314-298-7053

1477683266 — DR. JAMES T MOORE D.D.S.
Practice Location Address:

11520 SAINT CHARLES ROCK RD , SUITE 205
BRIDGETON, MO
63044-2732

Practice Phone: 314-298-7772
Practice Fax: 314-298-9895

1386898229 — BEST AFFORDABLE CHOICES LLC
Practice Location Address:

11520 SAINT CHARLES ROCK RD , SUITE 130
BRIDGETON, MO
63044-2732

Practice Phone: 314-344-2919
Practice Fax: 314-344-2859

1902041114 — PEER REVIEW CONSULTING SERVICES, INC.
Practice Location Address:

11520 SAINT CHARLES ROCK RD , STE 202
BRIDGETON, MO
63044-2732

Practice Phone: 314-291-5077
Practice Fax: 314-739-4169

1891028023 — ALBERTO GOLDGABER M D LLC
Practice Location Address:

11520 SAINT CHARLES ROCK RD , SUITE 106
BRIDGETON, MO
63044-2732

Practice Phone: 314-209-9331
Practice Fax: 314-447-0155

Directions to “JAMES T MOORE, DDS, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.