Mark Moore DMD, PC
NPI 1336311414ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Gainesville, GA
Dentist, Oral and Maxillofacial Surgery in Gainesville, Georgia, registered in NPPES in March 2008. The authorized official on file is Mark Phillip Moore, DMD, President.
Overview
| NPI | 1336311414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2008 |
| Last updated in NPPES | Mar 28, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | DN011706 | GA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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