Frederick Moore, DMD

General Practice Dentistry · Palmetto, GA

Individual Active NPI

NPI number 1215157060

Practice location

643 Main St
Palmetto, GA 30268-1138
Phone
(770) 463-4644

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NPI record

NPI
1215157060
Entity type
Individual (Type 1)
Enumeration date
April 26, 2007
Last updated
January 4, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN013353 GA

Mailing address

294 Glenwood Ave SE
Atlanta, GA 30312-3155
Phone
(706) 231-6584

About Dr. Moore

Frederick Moore, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 643 Main St, Palmetto, GA 30268-1138. The NPI number 1215157060 was assigned on April 26, 2007 and the record was last updated on January 4, 2012.

Dr. Moore lists a license in the registry: #DN013353 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Frederick Moore, DMD?

The NPI number is 1215157060.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (770) 463-4644.

Where is Dr. Moore located?

643 Main St, Palmetto, GA 30268-1138.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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