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Deactivated NPI 1518391317 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Judd Moore , DDS

Dentist - General Practice • Minden, LA

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

Registration / Start Date August 28, 2013
NPI Deactivation Date June 17, 2021
Total Practice Duration ~8 Years of Practice (2013 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Moore, DDS was a registered Dentist - General Practice practicing in Minden, LA. Throughout an active medical career spanning 8 years, Dr. Moore provided care at the practice location at 1117 HOMER ROAD until profile deactivation on 2021-06-17.

Practice Location & Contact Primary Location

Practice Address

1117 Homer Road

Minden, LA 71055

Telephone 3183712211
Fax 3183712211
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Minden, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Minden, LA (1587 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 LA 3860

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 June 17, 2021

Record deactivated on June 17, 2021

NPI Profile Active July 08, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2014

Registered at 1117 HOMER ROAD, MINDEN, LA 71055 (Tel: 3183712211)

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Updated Business Mailing Address July 08, 2014

Registered at PO BOX 310, MINDEN, LA 710580310 (Tel: 3183712211)

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Provider Name / Credentials Updated July 08, 2014

Recorded as DANIEL MOORE, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2014

Dentist (License #3860 in LA)

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Initial NPI Registration & Enumeration August 28, 2013

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: 1518391317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2013
Last Update: July 08, 2014
Deactivation Date: June 17, 2021

Mailing Address

Po Box 310

Minden, LA 710580310

Phone: 3183712211

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.