DR. MARK PHILLIP MOORE


Address: 2048 Windward Ln, Gainesville, GA 30501-7418
Phone: 7702977888

DR. MARK PHILLIP MOORE (NPI# 1225022833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225022833
Entity Type Individual
Full Name DR. MARK PHILLIP MOORE
Credential DMD
Practice Address 2048 Windward Ln
Gainesville
GA 30501-7418
Practice Telephone 7702977888
Practice Fax Number 7702977833
Mailing Telephone 7702977888
Mailing Fax Number 7702977833
Enumeration Date 2005-09-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
011706 GA Dental Providers

Other Providers MARK MOORE

NPI Name Taxonomy Address Enumeration
1073031019 Mark Daniel Moore Psychologist 100 Miner St, Crescent City, IL 60928-8092 2017-08-30
1114462017 Mark Christopher Moore Anesthesiologist Assistant 8000 E Maplewood Ave Bldg 5, Ste. 200, Greenwood Village, CO 80111-4766 2016-12-30
1699981183 Mark Wayne Moore Dentist 2301 12th St, Meridian, MS 39301-3934 2007-05-14
1588747588 Mark W Moore Physical Therapist 6036 N 19th Ave Ste 303, Phoenix, AZ 85015 2006-10-23
1346338530 Mark Douglas Moore Optometrist 2020 N Tyler Rd Ste 124, Wichita, KS 67212-4916 2006-10-11
1730289935 Mark Edward Moore Optometrist 3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276 2006-09-25
1043328800 Mark D Moore Optometrist 504 Peterson Ave S, Douglas, GA 31533-5254 2006-08-29
1104934462 Mark Stephen Moore Dentist 5501 Matlock Rd, Arlington, TX 76018-1534 2006-08-28
1710527130 Mark Moore Community Health Worker 1114 Lane 12, Lovell, WY 82431-9555 2020-01-14
1467940049 Mark Andrew Moore Pharmacist 1102 N Gateway Ave, Rockwood, TN 37854-4109 2018-04-29

Office Location

Street Address 2048 WINDWARD LN
City GAINESVILLE
State GA
Zip Code 30501-7418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336311414 Mark Moore Dmd, PC Dentist 2048 Windward Ln, Gainesville, GA 30501-7418 2008-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
Find all providers in zip 30501

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053979997 Anand R Patel Dentist 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 2019-06-05
1013251065 Hamad A Alharbi Dentist 1395 Center Drive Oral and Maxillofacial Surgery, Gainesville, FL 32610-1005 2012-11-15
1306108865 W Jones Phillips Dds PC Dentist 698 Medical Park Ln, Gainesville, GA 30501-2084 2012-06-11
1376821777 Williamson T. Ratliff Dentist 2121 Nw 40th Ter Ste C, Gainesville, FL 32605-5814 2011-08-02
1750524351 Neeraj Ravindra Nagella Dentist 3736 Nw 27th St, Gainesville, FL 32605-2074 2009-04-13
1538338439 Marvin Slott Dds Pa Dentist 6801 Nw 9th Blvd Ste 1, Gainesville, FL 32605-4263 2008-02-25
1376615880 Nevil Phillip Bush Dentist 1221 A Sherwood Park Dr Ne, Gainesville, GA 30501 2006-11-14
1023117629 Philip Erich Koch Dentist 1221 Sherwood Park Drive, Suite B, Gainesville, GA 30501 2006-09-21
1578674271 Fred H Simonton IIi Dentist 1221 Sherwood Park Dr Ne Ste C, Gainesville, GA 30501-3404 2006-08-31
1336174846 Caton & Taylor Pa Dentist 2121 Nw 40th Terrace, Ste C, Gainesville, FL 32605 2006-07-12
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 30501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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