DR. JOHN GREGORY MOORE DDS
NPI 1720165954
Dentist - General Practice in Bridgeport, WV

Active since November 01, 2006
1160 JOHNSON AVE, SUITE 104, BRIDGEPORT, WV 26330(304) 842-2361 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Gregory Moore Dds NPPES

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

DR. JOHN GREGORY MOORE DDS (NPI 1720165954) is an individual general practice provider in Bridgeport, West Virginia, licensed in West Virginia (2794) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1720165954
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN GREGORY MOORECredential: DDS
Location Address1160 JOHNSON AVE, SUITE 104Bridgeport, WV 26330-1487
Mailing Address1160 Johnson Ave, Suite 104Bridgeport, WV 26330-1487 · (304) 842-2361
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720165954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WV · 2794
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.
1160 JOHNSON AVE, Bridgeport, WV 26330

Other Identifiers 2

Other94661WA · United Concordia
Medicaid0137163000WV

Other Providers at the Same Location NPPES 5

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

Dentist
1160 JOHNSON AVE, SUITE 104
BRIDGEPORT, WV 26330
Psychiatry & Neurology (Psychiatry)
1160 JOHNSON AVE, SUITE 105
BRIDGEPORT, WV 26330
Psychiatry & Neurology (Psychiatry)
1160 JOHNSON AVE, SUITE 105
BRIDGEPORT, WV 26330
Dentist
1160 JOHNSON AVE, 104
BRIDGEPORT, WV 26330
Psychiatry & Neurology (Psychiatry)
1160 JOHNSON AVE, STE 105
BRIDGEPORT, WV 26330

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 John Moore's NPI number?

The NPI number for John Moore is 1720165954. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is John Moore located?

John Moore practices at 1160 Johnson Ave Suite 104, Bridgeport, WV 26330. The listed phone number is (304) 842-2361.

What is John 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 John Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.