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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK PHILLIP MOORE, DMD

Active

DR. MARK PHILLIP MOORE, DMD is a Oral & Maxillofacial Surgery healthcare provider located in GAINESVILLE, Georgia. NPI 1225022833 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · GAINESVILLE, GA

Registration Details

NPI Number
1225022833
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2005 (20.889327632363 yrs)
Last Updated
Jul 8, 2007
License
011706 (GA)

Practice Information

Address
2048 WINDWARD LN
GAINESVILLE, GA, 305017418
Browse GA providers · Browse ZIP 30501
Phone
7702977888
Fax
7702977833
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in GAINESVILLE, GA

Name Credential NPI
DR. PHILIP ERICH KOCH DMD 1023117629
DR. NEVIL PHILLIP BUSH DDS PC 1376615880
DR. CHRIS S KIM DMD, MD 1003293077
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.