NPI age
20 years
Enumerated 2005-09-09
● Active
Type 1 · Individual
DR. Mark Phillip Moore, DMD
Moore is 1 of 6 dentist providers in Gainesville and 1 of 358 in Georgia.
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org
How this provider compares
Across 358 active dentist providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
2048 Windward Ln
Gainesville, GA 305017418
Mailing address
2048 Windward Ln
Gainesville, GA 305017418
Specialties
-
Dentist PrimaryThe 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.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.