Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740264845 Individual Practitioner Male Practitioner

Dr. James Richard Moore , DDS

Dentist - General Practice • Eglin Afb, FL

Professional Overview & Biography Verified Profile Summary

Dr. James Moore, DDS is a registered healthcare professional specializing in Dentist - General Practice in Eglin Afb, FL. Practice services are available at 307 BOATNER RD STE 114 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Telephone 8508838600
Associated Practice Facility / Clinic
🏢 Individual Provider Facility NPI 1376890293

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eglin Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Eglin Afb, FL (7473 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

CMS Verified: 2021-06-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 14227

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

40 Associated Practitioners
Dr. Lucas Petkewitz , DPT

Physical Therapist

NPI 1003228057

Doctor of Physical Therapy

Dr. Boden Port , DO

General Practice

NPI 1003519919

Doctor of Osteopathic Medicine (D.O.)

Dr. Eric Weiss , MD

General Practice

NPI 1013370444

Doctor of Medicine (M.D.)

Dr. Brock Jones , MD

Military Health Care Provider

NPI 1033046024

Doctor of Medicine (M.D.)

Stephen Biggs , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1033671227
Dr. Caleb Kiesow , MD

Family Medicine

NPI 1033704226

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location June 21, 2021

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

📍
Updated Business Mailing Address June 21, 2021

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

📍
Updated Practice Location November 04, 2019

Registered at 633D DENTAL SQUADRON, LANGLEY AFB, 76 NEALY AVE, HAMPTON, VA 23665 (Tel: 7572257630)

📍
Updated Practice Location April 27, 2018

Registered at 374TH DENTAL SQUADRON, UNIT 5224, HAMPTON, VA 23693 (Tel: 7572257630)

📍
Updated Business Mailing Address April 27, 2018

Registered at LANGLEY AFB, 76 NEALY AVE, HAMPTON, VA 23665 (Tel: 7572257630)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 374TH DENTAL SQUADRON, UNIT 5224, APO, AP 96328 (Tel: 225-3670)

📍
Updated Business Mailing Address July 08, 2007

Registered at PSC 78 BOX 3015, APO, AP 96326

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES MOORE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #14227 in TX)

🟢
Initial NPI Registration & Enumeration December 01, 2005

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: 1740264845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: June 21, 2021
Sole Proprietor: No

Mailing Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Phone: 8508838600

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.