P Praxis·MD
● Active Type 2 · Organization

Fredric A Moore DMD Pc

Dentist·Villa Rica, GA· NPI 1366652174 · Enumerated 2007 · 19 years on NPI
Fredric A Moore DMD Pc is 1 of 200 dentist organizations in Georgia.
NPI age
19 years
Enumerated 2007-05-23
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moore
President
Last NPPES update
2015-01-23
Source: monthly bulk 2026-05

How this organization compares

Across 200 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
514 W Bankhead Hwy, Suite 600
Villa Rica, GA 301801736
📞 7704562550fax 7704567680
Mailing address
514 W Bankhead Hwy, Suite 600
Villa Rica, GA 301801736
📞 7704562550fax 7704567680

Authorized official

Fredric A Moore, DMD
President
📞 7704562550

Individual providers at this organization

6 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
    GA license #10414 taxonomy 1223E0200X

Practice context

Multi-provider organization. 6 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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