Mark Moore DMD, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN011706 Issued in GA

Legal business name

MARK MOORE DMD, PC

Practice address

2048 Windward LN
Gainesville, GA 30501-7418

Phone

(770) 297-7888

NPI assigned

Mar 28, 2008

Last updated

Mar 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Phillip Moore, DMDNPI 1225022833

Title

President

Phone

(770) 297-7888

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Phillip Moore, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Gainesville, GA
  • NPI 1225022833
  NPD (past) Authorized official

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1336311414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 WINDWARD LN",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017418",
            "telephone_number": "770-297-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 WINDWARD LN",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017418",
            "telephone_number": "770-297-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MOORE DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-297-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN011706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Marascalco, M.D.
• Rocio Marceleno
• Ashley Rebecca Marchman, M.S., CCC-SLP
• Holmes Baker Marchman, MD
• Mark Lynn OD & Associates, PC (Visionworks)
• Manjunath Markandaya, MBBS, MD
• Robert Philip Marler, MD
• Teresa Marlow, LPC
• Veronica Marquez de Salcedo
• Kimbery Susan Marryott Lee, P.T., DHS

• Oral and Maxillofacial Surgery (Dentist) in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.