Stephanie Nancy Mora, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10621 Issued in CT

Practice address

3259 Catlin Ave
Quantico, VA 22134-5109

Phone

(703) 784-1528

NPI assigned

Jul 30, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1073891669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 CATLIN AVE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 CATLIN AVE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345109",
            "telephone_number": "703-784-1528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "North Chicago",
            "state": "IL",
            "postal_code": "600643048",
            "country_code": "US",
            "telephone_number": "224-610-4846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "STEPHANIE",
        "middle_name": "NANCY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-30",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessy Jean McLean, DPT
• Michelle Miller, DPT
• Alexander John Mills
• Cesar Rene Mojica, M.D.
• Emori A Moore, MD
• Caitlin Rose Morgan, FNP-C
• Cynthia Lynne Morris-Kukoski, PHARM.D.
• William Peter Nash, M.D.
• Aaron Nautel
• Hoai Tien Nguyen, BS

• General Practice Dentistry in Quantico, VA
• Providers in Quantico, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.