P Praxis·MD
● Active Type 1 · Individual

DR. Fredric A Moore, D.M.D.

Dentist·Villa Rica, GA· NPI 1346630712 · Enumerated 2015 · 11 years on NPI
Moore is 1 of 9 dentist providers in Villa Rica and 1 of 2660 in Georgia.
NPI age
11 years
Enumerated 2015-01-23
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-01-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
11 years
↓ 3 yr below median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-01Enumerated in NPPES
2015 2026

Where they practice

Practice location
514 W Bankhead Hwy Ste 600
Villa Rica, GA 301801739
📞 7704562550
Mailing address
514 W Bankhead Hwy Ste 600
Villa Rica, GA 301801739
📞 7704562550

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #DN010414 taxonomy 122300000X

Identifiers

TypeValueNotes
01 1366652174 NPI FOR FREDRIC A MOORE, DMD, PC (ORGANIZATION)

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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