NPI age
19 years
Enumerated 2006-11-20
● Active
Type 1 · Individual
DR. Shane L Moore, DDS
Moore is 1 of 19 dentist providers in Amarillo and 1 of 1797 in Texas.
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1797 active dentist providers in Texas.
NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
2455 W Interstate 40
Amarillo, TX 791091852
Mailing address
2455 W Interstate 40
Amarillo, TX 791091852
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1420292 | UNITED CONCORDIA |
| 01 (TX) | 89D745 | BLUECROSSBLUE SHIELD |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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