Individual provider · Type 1 NPI

Mariya Moore, DDS

Pediatric Dentistry · Fairfield, CT

NPI number 1972112969 Active

Practice location

1478 Post Rd
Fairfield, CT 06824-5938

Call (203) 255-6851 Map

Mailing address

175 Jaffrey St
Brooklyn, NY 11235-3022

Other practice locations

  • 1545 Atlantic Ave, Brooklyn, NY 11213-1122 · (718) 613-7140

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X062778 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry 1223P0221X22DI02925100 (NJ)
Pediatric Dentistry 1223P0221X13620 (CT)

Pediatric Dentistry: 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.

14 other providers at this address

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About NPI 1972112969

Mariya Moore, DDS's National Provider Identifier is 1972112969, issued on Jul 27, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fairfield, CT. The record was last updated on Oct 7, 2026.