Individual provider · Type 1 NPI
Mark Phillip Moore, DMD
Oral and Maxillofacial Surgery (Dentist) · Gainesville, GA
NPI number
1225022833
Active
Practice location
2048 Windward Ln
Gainesville, GA 30501-7418
Fax (770) 297-7833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 011706 (GA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Gainesville
About NPI 1225022833
Mark Phillip Moore, DMD's National Provider Identifier is 1225022833, issued on Sep 9, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gainesville, GA. The record was last updated on Jul 13, 2026.