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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LISA MOORE DH-1002
NPI 1194637249
Dental Hygienist in Plummer, ID

Active since September 22, 2026
427 12TH ST, PLUMMER, ID 83851(208) 686-1931 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Lisa Moore Dh-1002 NPPES

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

LISA MOORE DH-1002 (NPI 1194637249) is an individual dental hygienist in Plummer, Idaho, licensed in Idaho (DH-1002) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1194637249
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameLISA MOORECredential: DH-1002
Location Address427 12TH STPlummer, ID 83851-4000
Mailing Address427 12th StPlummer, ID 83851-4000 · (208) 686-1931
Phone(208) 686-1931
Sole ProprietorNo
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1194637249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in ID · DH-1002
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
427 12TH ST, Plummer, ID 83851
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Other Providers at the Same Location NPPES 20

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

KATELYN HAMMRICH PA
Physician Assistant
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
MRS. JAMIE DEE SMITH LPC
Counselor (Addiction (Substance Use Disorder))
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
MICHELLE KAY MOORE LPC
Counselor (Mental Health)
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
JOHN BRONSELL RYAN BRONSELL PHARMD
Pharmacist (Ambulatory Care)
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
EVAN SKAANES DDS
Dentist
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
KELLIE RENEE BERGENDAHL RDH
Dental Hygienist
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
RACHEL CHISAUSKY DO
Family Medicine
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
PENNY ANN SCZENSKI AGPCNP-BC
Family Medicine
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931

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 Lisa Moore's NPI number?

The NPI number for Lisa Moore is 1194637249. It was assigned to this individual provider in the NPPES registry on September 22, 2026.

Where is Lisa Moore located?

Lisa Moore practices at 427 12th St, Plummer, ID 83851. The listed phone number is (208) 686-1931.

What is Lisa Moore's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Lisa Moore was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.