FREDRIC A MOORE DMD PC
NPI 1366652174
Dentist - Endodontics in Villa Rica, GA

Active since May 23, 2007
514 W BANKHEAD HWY, SUITE 600, VILLA RICA, GA 30180(770) 456-2550(770) 456-7680 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fredric A Moore Dmd Pc NPPES

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

FREDRIC A MOORE DMD PC (NPI 1366652174) is a healthcare organization registered as an endodontics in Villa Rica, Georgia and active in the NPI registry since May 2007. The organization lists Fredric A Moore, President, as its authorized official.

NPPES Registry Identity

NPI1366652174
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameFREDRIC A MOORE DMD PC
Location Address514 W BANKHEAD HWY, SUITE 600Villa Rica, GA 30180-1736
Mailing Address514 W Bankhead Hwy, Suite 600Villa Rica, GA 30180-1736 · (770) 456-2550 · Fax (770) 456-7680
Fax(770) 456-7680
Organization SubpartNo
Authorized OfficialFredric A MoorePresident · (770) 456-2550
Enumeration DateMay 23, 2007
Last NPPES UpdateJanuary 23, 2015
NPI 1366652174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in GA · 10414
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
514 W BANKHEAD HWY, Villa Rica, GA 30180

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
514 W BANKHEAD HWY
VILLA RICA, GA 30180
Counselor (Professional)
514 W BANKHEAD HWY, SUITE 100
VILLA RICA, GA 30180
Psychiatry & Neurology (Psychiatry)
514 W BANKHEAD HWY, SUITE 400
VILLA RICA, GA 30180
Counselor (Professional)
514 W BANKHEAD HWY, SUITE 100
VILLA RICA, GA 30180
Counselor (Professional)
514 W BANKHEAD HWY, STE 100
VILLA RICA, GA 30180
Chiropractor
514 W BANKHEAD HWY, #300
VILLA RICA, GA 30180
Chiropractor
514 W BANKHEAD HWY, # 300
VILLA RICA, GA 30180
Dentist (General Practice)
514 W BANKHEAD HWY, SUITE 600
VILLA RICA, GA 30180

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 Fredric A Moore Dmd PC's NPI number?

The NPI number for Fredric A Moore Dmd PC is 1366652174. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Fredric A Moore Dmd PC located?

Fredric A Moore Dmd PC is located at 514 W Bankhead Hwy Suite 600, Villa Rica, GA 30180. The listed phone number is (770) 456-2550.

What is Fredric A Moore Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Fredric A Moore Dmd PC was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.