Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1700974664 Deactivated / Inactive NPI Male Practitioner

Dr. Ralph Theodore Moore , DMD

Dentist • Roseland, NJ

⚠️

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

Registration / Start Date October 10, 2006
NPI Deactivation Date November 01, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Moore, DMD was a registered Dentist practicing in Roseland, NJ. Throughout an active medical career spanning 17 years, Dr. Moore provided care at the practice location at 556 EAGLE ROCK AVE until profile deactivation on 2023-11-01.

Practice Location & Contact Primary Location

Practice Address

556 Eagle Rock Ave
Suite 103

Roseland, NJ 070681503

Telephone 9082285545
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Roseland, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Roseland, NJ (2906 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 NJ DI008672

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1114941333

Doctor of Dental Medicine

NPI 1285891770
NPI 1295740686

Doctor of Medicine (M.D.)

NPI 1487697918

Doctor of Medicine (M.D.)

NPI 1548238447

Doctor of Medicine (M.D.)

NPI 1841233418

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 556 EAGLE ROCK AVE, SUITE 103, ROSELAND, NJ 070681503 (Tel: 9082285545)

📍
Updated Business Mailing Address July 08, 2007

Registered at 556 EAGLE ROCK AVE, SUITE 103, ROSELAND, NJ 070681503 (Tel: 9082285545)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RALPH MOORE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DI008672 in NJ)

🟢
Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ralph Moore. Be the first to share your experience!

Sign in to leave a review for Dr. Ralph Moore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1700974664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: July 08, 2007
Deactivation Date: November 01, 2023

Mailing Address

556 Eagle Rock Ave, Suite 103

Roseland, NJ 070681503

Phone: 9082285545

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.