Preston David Moore, D.D.S.

Individual provider Active NPI General Practice Dentistry · Schulenburg, TX

NPI 1245270396 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1245270396
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
9528 (TX)
Practice address
309 Kessler Ave
Schulenburg, TX 78956-1507
Phone
(979) 743-3755
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9528TXMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9528 TX Yes

Addresses

Primary practice location

309 Kessler Ave
Schulenburg, TX 78956-1507

Mailing address

309 Kessler Ave
Schulenburg, TX 78956-1507
Phone (979) 743-3755

Other providers in Schulenburg, TX

All providers in Schulenburg, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.