Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245302918 Individual Practitioner Male Practitioner

Dr. Charles Andrew Moore , DMD

Dentist • Stone Mountain, GA

Professional Overview & Biography Verified Profile Summary

Dr. Charles Moore, DMD is a registered healthcare professional specializing in Dentist in Stone Mountain, GA. Practice services are available at 5462 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5462 Memorial Dr

Stone Mountain, GA 300833239

Telephone 4042990022
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Stone Mountain, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Stone Mountain, GA (2164 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN008787

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00677311A (GA)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Tran Trivedi , NP-C

Nurse Practitioner - Family

NPI 1164707220

Nurse Practitioner (Certified)

NPI 1174559140

Doctor of Osteopathic Medicine (D.O.)

NPI 1285721126

Doctor of Medicine (M.D.)

NPI 1407013840

Doctor of Optometry

Israel Cabanas

Family Medicine

NPI 1407911647
NPI 1881687515

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 27, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2008

Registered at 5462 MEMORIAL DR, STONE MOUNTAIN, GA 300833239 (Tel: 4042990022)

📍
Updated Business Mailing Address October 27, 2008

Registered at 5390 FONTENOY CT, NORCROSS, GA 300714700 (Tel: 7708409889)

👤
Provider Name / Credentials Updated October 27, 2008

Recorded as CHARLES MOORE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2008

Dentist (License #DN008787 in GA)

🟢
Initial NPI Registration & Enumeration November 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: 1245302918
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: October 27, 2008
Sole Proprietor: No

Mailing Address

5390 Fontenoy Ct

Norcross, GA 300714700

Phone: 7708409889

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.