MARK MOORE DMD, PC (NPI# 1336311414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336311414 |
| Entity Type | Organization |
| Organization Name | MARK MOORE DMD, PC |
| Practice Address |
2048 Windward Ln Gainesville GA 30501-7418 |
| Practice Telephone | 7702977888 |
| Mailing Telephone | 7702977888 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |
| Authorized Official Name | DR. MARK PHILLIP MOORE (PRESIDENT) |
| Authorized Official Telephone | 7702977888 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN011706 | GA | Dental Providers |
| Street Address |
2048 WINDWARD LN |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022833 | Mark Phillip Moore | Dentist | 2048 Windward Ln, Gainesville, GA 30501-7418 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1013251065 | Hamad A Alharbi | Dentist | 1395 Center Drive Oral and Maxillofacial Surgery, Gainesville, FL 32610-1005 | 2012-11-15 |
| 1306108865 | W Jones Phillips Dds PC | Dentist | 698 Medical Park Ln, Gainesville, GA 30501-2084 | 2012-06-11 |
| 1376821777 | Williamson T. Ratliff | Dentist | 2121 Nw 40th Ter Ste C, Gainesville, FL 32605-5814 | 2011-08-02 |
| 1750524351 | Neeraj Ravindra Nagella | Dentist | 3736 Nw 27th St, Gainesville, FL 32605-2074 | 2009-04-13 |
| 1538338439 | Marvin Slott Dds Pa | Dentist | 6801 Nw 9th Blvd Ste 1, Gainesville, FL 32605-4263 | 2008-02-25 |
| 1376615880 | Nevil Phillip Bush | Dentist | 1221 A Sherwood Park Dr Ne, Gainesville, GA 30501 | 2006-11-14 |
| 1023117629 | Philip Erich Koch | Dentist | 1221 Sherwood Park Drive, Suite B, Gainesville, GA 30501 | 2006-09-21 |
| 1578674271 | Fred H Simonton IIi | Dentist | 1221 Sherwood Park Dr Ne Ste C, Gainesville, GA 30501-3404 | 2006-08-31 |
| 1336174846 | Caton & Taylor Pa | Dentist | 2121 Nw 40th Terrace, Ste C, Gainesville, FL 32605 | 2006-07-12 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.