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FREDRIC A MOORE DMD PC NPI 1366652174


NPI Information

NPI: 1366652174
Provider Name: FREDRIC A MOORE DMD PC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
514 W BANKHEAD HWY
SUITE 600
VILLA RICA, GA
ZIP 30180
Phone: (770) 456-2550
Get Directions

FREDRIC A MOORE DMD PC is an endodontics dentist in Villa Rica, GA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. FREDRIC A MOORE DMD PC NPI is 1366652174. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

514 W BANKHEAD HWY
SUITE 600
VILLA RICA, GA
ZIP 30180-736
Phone: (770) 456-2550
Fax: (770) 456-7680

The provider's authorized official is Fredric A Moore .
The authorized official title is President and has the following contact phone number (770) 456-2550.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 1/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics10414GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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