Dr. Jack Frank Moores III
Oral and Maxillofacial Surgeon
42051 Mound Rd
Sterling Heights
, Michigan 48314-3143
Dr. Jack Frank Moores III
Oral and Maxillofacial Surgeon
42051 Mound Rd
Sterling Heights
, Michigan 48314-3143
(586) 323-7707
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jack Frank Moores III
- 42051 Mound Rd
- Sterling Heights, MI
- Zip : 48314-3143
- Fax : (586) 323-7707
- Phone : (586) 323-7700
Second Address
- Dr. Jack Frank Moores III
- 42051 Mound Rd
- Sterling Heights, MI
- Zip : 48314-3143
- Fax : (586) 323-7707
- Phone : (586) 323-7700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2901016423 | MI |
National Provider Identifier
| NPI | 1003996760 |
|---|---|
| Provider Name | Dr. Jack Frank Moores III |
| First Address | Sterling Heights, MI 48314-3143 |
| Second Address | Sterling Heights, MI 48314-3143 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3111522 | (05) | MI |
| U50526 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.