DR. KENT E. MOORE M.D. D.D.S. NPI 1851325260

NPI Information

  • NPI: 1851325260
  • Provider Name: DR. KENT E. MOORE, M.D., D.D.S.
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2711 RANDOLPH RD
    SUITE 510
    CHARLOTTE, NC
    ZIP 28207
  • Phone: (704) 358-8898

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NPI Details

DR. Kent E. Moore, M.D., D.D.S. is an oral maxillofacial surgery in Charlotte, NC. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Kent E. Moore, M.D., D.D.S. NPI is 1851325260. 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:

2711 RANDOLPH RD
SUITE 510
CHARLOTTE, NC
ZIP 28207-034
Phone: (704) 358-8898
Fax: (704) 358-8889

The NPI 1851325260 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/19/2019.

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
11223S0112XDentistOral and Maxillofacial Surgery5366NORTH CAROLINANo
2204E00000XOral & Maxillofacial Surgery5366NORTH CAROLINAYes

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: 11/21/2025

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