DR. MARK PHILLIP MOORE DMD
NPI 1225022833
Dentist - Oral and Maxillofacial Surgery in Gainesville, GA
About Dr. Mark Phillip Moore Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK PHILLIP MOORE DMD (NPI 1225022833) is an individual oral and maxillofacial surgery provider in Gainesville, Georgia, licensed in Georgia (011706) and active in the NPI registry since September 2005. He has opted out of Medicare through June 18, 2027.
NPPES Registry Identity
Specialties & Licenses
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Mark Phillip Moore Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 18, 2015 through June 18, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark Moore's NPI number?
The NPI number for Mark Moore is 1225022833. It was assigned to this individual provider in the NPPES registry on September 9, 2005.
Where is Mark Moore located?
Mark Moore practices at 2048 Windward Ln, Gainesville, GA 30501. The listed phone number is (770) 297-7888.
What is Mark Moore's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Mark Moore enrolled in Medicare?
No. Mark Moore has opted out of Medicare through June 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Mark Moore was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
