Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ETHAN TRENT MOORE DDS
NPI 1437048105
Dentist - General Practice in Hyattsville, MD

Q: What is Ethan Moore's NPI number?

The NPI number for Ethan Moore is 1437048105. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Q: What is Ethan 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 Ethan Moore was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 30, 2025

2201 QUEENS CHAPEL RD, HYATTSVILLE, MD 20782(301) 779-2744 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ethan Trent Moore Dds NPPES

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

DR. ETHAN TRENT MOORE DDS (NPI 1437048105) is an individual general practice provider in Hyattsville, Maryland, licensed in Maryland (18868) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1437048105

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ETHAN TRENT MOORECredential: DDS

Location Address2201 QUEENS CHAPEL RDHyattsville, MD 20782-3672

Mailing Address2300 Washington Pl Ne Apt 102Washington, DC 20018-1054

Phone(301) 779-2744

Sole ProprietorNo

Enumeration DateJune 30, 2025

Last NPPES UpdateJuly 31, 2026

NPPES CertifiedJuly 31, 2026

✔ NPI 1437048105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MD · 18868

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.

2201 QUEENS CHAPEL RD, Hyattsville, MD 20782

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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.

BRITTANY CAMPBELL RDH

Dental Hygienist

2201 QUEENS CHAPEL RD
HYATTSVILLE, MD 20782

Prince George's County (301) 779-2744

TIFFANY ASHTON D.D.S

Dentist (General Practice)

2201 QUEENS CHAPEL RD
HYATTSVILLE, MD 20782

Prince George's County (301) 779-2744

GWENDOLYN ROCHIE DANIELS PARKS DDS

Dentist

2201 QUEENS CHAPEL RD
HYATTSVILLE, MD 20782

Prince George's County (301) 779-2744

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 Ethan Moore's NPI number?

The NPI number for Ethan Moore is 1437048105. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Ethan Moore located?

Ethan Moore practices at 2201 Queens Chapel Rd, Hyattsville, MD 20782. The listed phone number is (301) 779-2744.

What is Ethan 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 Ethan Moore was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.