Dr. Jacquelyn Marie Moore , DDS
Dentist - General Practice • Meridian, MS
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. Jacquelyn Moore has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jacquelyn Moore, DDS was a registered Dentist - General Practice practicing in Meridian, MS. Throughout an active medical career spanning 15 years, Dr. Moore provided care at the practice location at 2310 4TH ST until profile deactivation on 2025-01-23.
Practice Location & Contact Primary Location
2310 4th St
Ste. B
Meridian, MS 393015819
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Meridian, MS
Practicing in Meridian, MS (895 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 23, 2025
NPI status registered as active in NPPES database
Registered at 2310 4TH ST, STE. B, MERIDIAN, MS 393015819 (Tel: 6016934878)
Registered at 2310 4TH ST, B, MERIDIAN, MS 393015819 (Tel: 6016934878)
Recorded as JACQUELYN HUNTER-MOORE, DDS
Dentist (License #2678-92 in MS)
NPI status registered as active in NPPES database
Registered at 2310 4TH ST, STE. B, MERIDIAN, MS 393015819 (Tel: 6016934878)
Registered at 2310 4TH ST, B, MERIDIAN, MS 393015819 (Tel: 6016934878)
Recorded as JACQUELYN MOORE, DDS
Dentist (License #2678-92 in MS)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2310 4th St, B
Meridian, MS 393015819
Phone: 6016934878
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