Alicia Jessica Moore, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

19976 Issued in FL

Practice address

4910 NW 27TH CT
Gainesville, FL 32606-6590

Phone

(352) 335-7777

NPI assigned

Jun 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kodp PLLC

  • Pediatric Dentistry
  • Gainesville, FL
  • NPI 1902798903
  NPD Authorized official
• E.L. Moore DDS PA

  • Dental Clinic/Center
  • Tampa, FL
  • NPI 1598199564
  NPD (past)
• Kids Only Dental Place

  • Pediatric Dentistry
  • Gainesville, FL
  • NPI 1205067725
  NPD (past)
• Dr. Camps Pediatric Dental Center

  • Pediatric Dentistry
  • Silver Spring, MD
  • NPI 1265423842
  NPD (past)

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1629363452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 NW 27TH CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066590",
            "telephone_number": "352-335-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 NW 27TH CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066590",
            "telephone_number": "352-335-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6702 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336045716",
            "country_code": "US",
            "telephone_number": "813-932-0458",
            "fax_number": "813-935-5214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6702 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336045716",
            "country_code": "US",
            "telephone_number": "813-932-0458",
            "fax_number": "813-935-5214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALICIA",
        "middle_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "19976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon N. Moonah, M.D.
• Rachel Sarah Freedman Moor, MD
• Jasmyne Dominique Moord
• Izabella Moore Fletcher
• Aiden Derrick Moore
• Amanda Moore
• Ann B. Moore, LMT
• April L Moore
• Beverly V Moore, ARNP
• Brenda J Moore

• Dentist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.