DR. JACOB GORDON MOORE DDS
NPI 1124382957
Dentist - General Practice in Waco, TX

Q: What is Jacob Moore's NPI number?

The NPI number for Jacob Moore is 1124382957. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Q: What is Jacob 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 Jacob Moore was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 26, 2012

10104 SADDLE CREEK RD, WACO, TX 76708(254) 836-9595 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jacob Gordon Moore Dds NPPES

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

DR. JACOB GORDON MOORE DDS (NPI 1124382957) is an individual general practice provider in Waco, Texas, licensed in Texas (27978) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1124382957

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACOB GORDON MOORECredential: DDS

Location Address10104 SADDLE CREEK RDWaco, TX 76708-7290

Mailing Address10104 Saddle Creek RdWaco, TX 76708-7290 · (254) 836-9595

Phone(254) 836-9595

Sole ProprietorNo

Enumeration DateJune 26, 2012

✔ NPI 1124382957 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 · 27978

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.

10104 SADDLE CREEK RD, Waco, TX 76708

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Other Providers at the Same Location NPPES 3

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

SADDLE CREEK DENTAL, PA

Dentist (General Practice)

10104 SADDLE CREEK RD
WACO, TX 76708

McLennan County (254) 836-9595

DR. JOSHUA ROWELL D.D.S

Dentist

10104 SADDLE CREEK RD
WACO, TX 76708

McLennan County (254) 836-9595

DR. DOD DAVID MOORE D.D.S.

Dentist

10104 SADDLE CREEK RD
WACO, TX 76708

McLennan County (254) 836-9595

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 Jacob Moore's NPI number?

The NPI number for Jacob Moore is 1124382957. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Jacob Moore located?

Jacob Moore practices at 10104 Saddle Creek Rd, Waco, TX 76708. The listed phone number is (254) 836-9595.

What is Jacob 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 Jacob Moore was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.