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Deactivated NPI 1376605196 Deactivated / Inactive NPI Male Practitioner

Dr. Walker B. Moore , DDS

Dentist - General Practice • Stone Mountain, GA

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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. Walker Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 15, 2006
NPI Deactivation Date July 02, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Walker Moore, DDS was a registered Dentist - General Practice practicing in Stone Mountain, GA. Throughout an active medical career spanning 20 years, Dr. Moore provided care at the practice location at 4687 ROCKBRIDGE RD until profile deactivation on 2026-07-02.

Practice Location & Contact Primary Location

Practice Address

4687 Rockbridge Rd
Suite #7

Stone Mountain, GA 300834258

Telephone 4042969070
Fax 4042963456
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stone Mountain, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
25 Specialists

Practicing in Stone Mountain, GA (3302 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 GA GA 7613

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.

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 July 02, 2026

Record deactivated on July 02, 2026

NPI Profile Active April 22, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 22, 2016

Registered at 4687 ROCKBRIDGE RD, SUITE #7, STONE MOUNTAIN, GA 300834258 (Tel: 4042969070)

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Updated Business Mailing Address April 22, 2016

Registered at 1046 RIDGE AVE SW, SUITE #7, ATLANTA, GA 303151640 (Tel: 4046881350)

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Provider Name / Credentials Updated April 22, 2016

Recorded as WALKER MOORE, D. D. S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2016

Dentist (License #GA 7613 in GA)

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Initial NPI Registration & Enumeration December 15, 2006

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: 1376605196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2006
Last Update: April 22, 2016
Deactivation Date: July 02, 2026

Mailing Address

1046 Ridge Ave Sw, Suite #7

Atlanta, GA 303151640

Phone: 4046881350

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.