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Deactivated NPI 1831411099 Deactivated / Inactive NPI Male Practitioner

Dr. Martin Russell Moultrie , DMD

Dentist - General Practice • Anniston, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Martin Moultrie has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 15, 2010
NPI Deactivation Date October 11, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Martin Moultrie, DMD was a registered Dentist - General Practice practicing in Anniston, AL. Throughout an active medical career spanning 14 years, Dr. Moultrie provided care at the practice location at 1316 NOBLE ST until profile deactivation on 2024-10-11.

Practice Location & Contact Primary Location

Practice Address

1316 Noble St

Anniston, AL 362014643

Telephone 2564920131
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Anniston, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
32 Specialists

Practicing in Anniston, AL (1455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AL 3532

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
NPI 1023122421

Doctor of Medicine (M.D.)

NPI 1043526445

Doctor of Optometry

Cherie Keahey , CRNP

Nurse Practitioner - Family

NPI 1063434561

Certified Registered Nurse Practitioner

Dr. Judith Quilon , MD

Family Medicine

NPI 1063461697

Doctor of Medicine (M.D.)

Dr. Muhammad Tariq , MD

Internal Medicine

NPI 1063462851

Doctor of Medicine (M.D.)

Dr. Shubadha Virenjan , DDS

Dentist - General Practice

NPI 1255381273

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 11, 2024

Record deactivated on October 11, 2024

NPI Profile Active February 15, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 15, 2010

Registered at 1316 NOBLE ST, ANNISTON, AL 362014643 (Tel: 2564920131)

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Updated Business Mailing Address February 15, 2010

Registered at PO BOX 97, GADSDEN, AL 359020097 (Tel: 2564920131)

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Provider Name / Credentials Updated February 15, 2010

Recorded as MARTIN MOULTRIE, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2010

Dentist (License #3532 in AL)

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Initial NPI Registration & Enumeration February 15, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831411099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2010
Last Update: February 15, 2010
Deactivation Date: October 11, 2024

Mailing Address

Po Box 97

Gadsden, AL 359020097

Phone: 2564920131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.