DR. BRENT WILLIAM MOORE DDS
NPI 1104917178
Dentist - General Practice in Fairfield, TX

Q: What is Brent Moore's NPI number?

The NPI number for Brent Moore is 1104917178. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Brent Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Brent Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 27, 2006

764 W COMMERCE ST, FAIRFIELD, TX 75840(903) 389-4151 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Brent William Moore Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENT WILLIAM MOORE DDS (NPI 1104917178) is an individual general practice provider in Fairfield, Texas, licensed in Texas (16589) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104917178

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRENT WILLIAM MOORECredential: DDS

Location Address764 W COMMERCE STFairfield, TX 75840-1428

Mailing Address764 W Commerce StFairfield, TX 75840-1428 · (903) 389-4151

Phone(903) 389-4151

Sole ProprietorYes

Enumeration DateSeptember 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104917178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 16589

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

764 W COMMERCE ST, Fairfield, TX 75840

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES KERBACHER MD

Family Medicine

764 W COMMERCE ST
FAIRFIELD, TX 75840

Freestone County (903) 389-2181

CHERYL F ROBERTS FNP

Nurse Practitioner

764 W COMMERCE ST
FAIRFIELD, TX 75840

Freestone County (903) 389-2181

MRS. LISA GAYLE WEHE C-FNP

Nurse Practitioner (Family)

764 W COMMERCE ST
FAIRFIELD, TX 75840

Freestone County (903) 389-2181

BRIAN KEITH WHITE LPCA

Counselor (Mental Health)

764 W COMMERCE ST
FAIRFIELD, TX 75840

Freestone County (903) 329-9270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Moore's NPI number?

The NPI number for Brent Moore is 1104917178. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Brent Moore located?

Brent Moore practices at 764 W Commerce St, Fairfield, TX 75840. The listed phone number is (903) 389-4151.

What is Brent Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Brent Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.