Pamela A. Moore, DMD
NPI 1174631006ActiveIndividual· Dentist, Periodontics· West Hartford, CT
Dentist, Periodontics (DMD) in West Hartford, Connecticut, licensed in CT, with an NPI issued in August 2006. Part D covered 12 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1174631006 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Aug 29, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 7345 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (CT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 14 30-day fills |
|---|---|
| Total drug cost | $49.44 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other periodontists in West Hartford
- 1003045675
- 1033279658
- 1013023050
- 1295965424
- 1366551038
- 1831280247
- 1497792071
- 1013120906