FREDRIC A MOORE DMD PC
NPI 1366652174
Dentist - Endodontics in Villa Rica, GA

NPI Status: Active since May 23, 2007

Contact Information

514 W BANKHEAD HWY
SUITE 600
VILLA RICA, GA
ZIP 30180
Phone: (770) 456-2550
Fax: (770) 456-7680

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  • Organization
  • Dentist
  • Endodontics

About FREDRIC A MOORE DMD PC

This page provides the complete NPI Profile along with additional information for Fredric A Moore Dmd Pc, a provider established in Villa Rica, Georgia operating as a Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1366652174 assigned on May 2007. The practitioner's primary taxonomy code is 1223E0200X with license number 10414 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Fredric A Moore Dmd (President)

NPI
1366652174
Provider Name
FREDRIC A MOORE DMD PC
Entity Type
Organization
Location Address
514 W BANKHEAD HWY SUITE 600 VILLA RICA, GA 30180
Location Phone
(770) 456-2550
Location Fax
(770) 456-7680
Mailing Address
514 W BANKHEAD HWY SUITE 600 VILLA RICA, GA 30180
Mailing Phone
(770) 456-2550
Mailing Fax
(770) 456-7680
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2007
Last Update Date
01-23-2015
Code Navigator

A dentist like Fredric A Moore Dmd Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Endodontics

Taxonomy Code
1223E0200X
Type
Dental Providers
License No.
10414
License State
GA
Taxonomy Description
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. FREDRIC A MOORE DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 456-2550

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366652174
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261254114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 2 + 5 + 4 + 1 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1366652174 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891849204DR. DONALD LOWELL FLETCHER D.C.
Individual
Chiropractor514 W BANKHEAD HWY # 300
VILLA RICA, GA 30180
(770) 459-0035
1699953414BANKHEAD CHIROPRACTIC
Organization
Chiropractor514 W BANKHEAD HWY #300
VILLA RICA, GA 30180
(770) 459-0035
1982935052VILLA RICA BEHAVIORAL HEALTH PC
Organization
Psychiatry & Neurology (Child & Adolescent Psychiatry)514 W BANKHEAD HWY SUITE 400
VILLA RICA, GA 30180
(770) 456-2788
1144425307MRS. DANA MICHELLE NUMMERDOR M.A., LPC, NCC
Individual
Counselor (Professional)514 W BANKHEAD HWY SUITE 100
VILLA RICA, GA 30180
(678) 941-3868
1528267416 REBECCA WADE HILL LPC
Individual
Counselor (Professional)514 W BANKHEAD HWY STE 100
VILLA RICA, GA 30180
(678) 941-3868
1336344456MRS. JENNIFER BENSON GRIZZARD LPC
Individual
Counselor (Professional)514 W BANKHEAD HWY SUITE 100
VILLA RICA, GA 30180
(678) 941-3868
1972967024BRIAN A BAIN DDS III PC
Organization
Dentist (General Practice)514 W BANKHEAD HWY SUITE 600
VILLA RICA, GA 30180
(770) 456-2550
1245274034DR. GEORGE W BAILEY M.D.
Individual
Psychiatry & Neurology (Psychiatry)514 W BANKHEAD HWY SUITE 400
VILLA RICA, GA 30180
(770) 456-2788
1104458553 DEANNA HENLEY LPC
Individual
Counselor (Mental Health)514 W BANKHEAD HWY
VILLA RICA, GA 30180
(678) 941-3868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366652174, enumerated in the NPI registry as an "organization" on May 23, 2007

The provider is located at 514 W Bankhead Hwy Suite 600 Villa Rica, Ga 30180 and the phone number is (770) 456-2550

This medical organization specializes in Dentist with taxonomy code 1223E0200X with a focus in Endodontics

This NPI record was last updated on May 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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