BRIGHAM R MOORMAN DDS NPI 1629171160

NPI Information

NPI: 1629171160
Provider Name: BRIGHAM R MOORMAN, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
400 GALLERIA PKWY SE
SUITE 800
ATLANTA, GA
ZIP 30339
Phone: (770) 916-5028
Get Directions

Brigham R Moorman, DDS is a general practice dentist in Atlanta, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Brigham R Moorman, DDS NPI is 1629171160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 GALLERIA PKWY SE
SUITE 800
ATLANTA, GA
ZIP 30339-980
Phone: (770) 916-5028
Fax: (678) 302-7485

The enumeration date for this NPI number is 9/7/2006 and was last updated on 7/8/2007.

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
1	1223G0001X	Dentist	General Practice	37456	CALIFORNIA	No
2	1223G0001X	Dentist	General Practice	048628-1	NEW YORK	No
3	1223G0001X	Dentist	General Practice	0401411240	VIRGINIA	No
4	1223G0001X	Dentist	General Practice	21505	MASSACHUSETTS	No
5	1223G0001X	Dentist	General Practice	12010805A	INDIANA	No
6	1223G0001X	Dentist	General Practice	7025	ARIZONA	No
7	1223G0001X	Dentist	General Practice	DN01856	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9180712	MEDICAID	VIRGINIA
2	0205516	MEDICAID	MASSACHUSETTS

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: 4/28/2024

NPI Synchronization or Removal

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