BRENT ALLEN MOORE DDS
NPI 1720158470
Dentist - General Practice in Fishers, IN

Active since November 09, 2006
11630 OLIO RD, SUITE #100, FISHERS, IN 46037(317) 348-1354(866) 511-4151 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brent Allen Moore Dds NPPES

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

BRENT ALLEN MOORE DDS (NPI 1720158470) is an individual general practice provider in Fishers, Indiana, licensed in Indiana (12010751A) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1720158470
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRENT ALLEN MOORECredential: DDS
Location Address11630 OLIO RD, SUITE #100Fishers, IN 46037-7677
Mailing Address14575 Lansing PlaceFishers, IN 46038 · (317) 679-8207 · Fax (866) 511-4151
Fax(866) 511-4151
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateMarch 25, 2008
NPI 1720158470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12010751A
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.

11630 OLIO RD, Fishers, IN 46037

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Dental)
11630 OLIO RD, SUITE 100
FISHERS, IN 46037
Clinic/Center (Dental)
11630 OLIO RD, SUITE #100
FISHERS, IN 46037

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 Brent Moore's NPI number?

The NPI number for Brent Moore is 1720158470. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Brent Moore located?

Brent Moore practices at 11630 Olio Rd Suite #100, Fishers, IN 46037. The listed phone number is (317) 348-1354.

What is Brent Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Brent Moore accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Indiana list Brent Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brent Moore was last updated on March 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.