DR. ALISA O MOORE D.D.S.
NPI 1770674806
Dentist - Pediatric Dentistry in Atlanta, GA

Active since September 27, 2006
2440 FAIRBURN RD SW, SUITE 301, ATLANTA, GA 30331(404) 349-7777(404) 349-8459 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alisa O Moore D.d.s. NPPES

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

DR. ALISA O MOORE D.D.S. (NPI 1770674806) is an individual pediatric dentistry provider in Atlanta, Georgia, licensed in Georgia (10731) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1770674806
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. ALISA O MOORECredential: D.D.S.
Location Address2440 FAIRBURN RD SW, SUITE 301Atlanta, GA 30331-5256
Mailing AddressPo Box 310065Atlanta, GA 31131-0065 · (404) 349-7777 · Fax (404) 349-8459
Fax(404) 349-8459
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1770674806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in GA · 10731
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2440 FAIRBURN RD SW, Atlanta, GA 30331

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Dentist (Pediatric Dentistry)
2440 FAIRBURN RD SW, SUITE 301
ATLANTA, GA 30331
Dentist (Orthodontics and Dentofacial Orthopedics)
2440 FAIRBURN RD SW, SUITE 301
ATLANTA, GA 30331
Behavior Analyst
2440 FAIRBURN RD SW
ATLANTA, GA 30331
Dentist (General Practice)
2440 FAIRBURN RD SW, SUITE 301
ATLANTA, GA 30331
Dentist (General Practice)
2440 FAIRBURN RD SW, SUITE 301
ATLANTA, GA 30331
Dentist (General Practice)
2440 FAIRBURN RD SW, SUITE 301
ATLANTA, GA 30331

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 Alisa Moore's NPI number?

The NPI number for Alisa Moore is 1770674806. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Alisa Moore located?

Alisa Moore practices at 2440 Fairburn Rd SW Suite 301, Atlanta, GA 30331. The listed phone number is (404) 349-7777.

What is Alisa Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Alisa Moore accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Paramount and 1 other insurer list Alisa 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 Alisa 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.