NPI age
4 years
Enumerated 2021-11-18
● Active Type 2 · Organization
King, McCune, And Moore Orthodontics, Llc
King, McCune, And Moore Orthodontics, Llc is 1 of 526 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moore
Organizer
Last NPPES update
2021-11-18
Source: monthly bulk 2026-05
How this organization compares
Across 526 active dentist providers in Georgia.
NPI age
4 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
3401 Northside Pkwy Nw
Atlanta, GA 303272323
Mailing address
5575 Aven Rd
Marietta, GA 300684502
Authorized official
Stephanie Moore, DMD
Organizer
📞 6784649773
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Thomas Godfrey, DMD Dentist NPI 1407948920
- Meryl Lanning, PHARM.D. Pharmacist NPI 1063016236
- Mychal Outlaw Pharmacist NPI 1811593668
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.