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Active NPI 1952685570 Individual Practitioner Male Practitioner

Dr. Gary Anthony Moeller , DDS

Dentist - General Practice • Shalimar, FL

Professional Overview & Biography Verified Profile Summary

Dr. Gary Moeller, DDS is a registered healthcare professional specializing in Dentist - General Practice in Shalimar, FL. Practice services are available at 1 ELEVENTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Eleventh Ave
Suite D-3

Shalimar, FL 32579

Telephone 8506516700
Fax 8506090796
Associated Practice Facility / Clinic
🏢 Shalimar Family Dentistry Facility NPI 1932111564

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shalimar, FL

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

Practicing in Shalimar, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN20806

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License UT 8010253-9922

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

4 Associated Practitioners
Dr. Kelly Seebaldt , DMD

Dentist - General Practice

NPI 1114150760

Doctor of Dental Medicine

NPI 1124704291

Doctor of Dental Medicine

NPI 1528155413

Doctor of Dental Medicine

NPI 1679187439

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2015

Registered at 1 ELEVENTH AVE, SUITE D-3, SHALIMAR, FL 32579 (Tel: 8506516700)

📍
Updated Business Mailing Address June 19, 2015

Registered at 1 ELEVENTH AVE, SUITE D-3, SHALIMAR, FL 32579 (Tel: 8506516700)

👤
Provider Name / Credentials Updated June 19, 2015

Recorded as GARY MOELLER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2015

Dentist (License #DN20806 in FL)

🟢
Initial NPI Registration & Enumeration September 30, 2011

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: 1952685570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2011
Last Update: June 19, 2015
Sole Proprietor: No

Mailing Address

1 Eleventh Ave, Suite D-3

Shalimar, FL 32579

Phone: 8506516700

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.