Dr. Gordon Moore , DDS
Dentist - General Practice • Roswell, NM
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. Gordon Moore has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gordon Moore, DDS was a registered Dentist - General Practice practicing in Roswell, NM. Throughout an active medical career spanning 15 years, Dr. Moore provided care at the practice location at 207 N UNION AVE until profile deactivation on 2023-07-12.
Practice Location & Contact Primary Location
207 N Union Ave
Suite A
Roswell, NM 882013068
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Roswell, NM
Practicing in Roswell, NM (761 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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 12, 2023
NPI status registered as active in NPPES database
Registered at 207 N UNION AVE, SUITE A, ROSWELL, NM 882013068 (Tel: 5756270062)
Registered at 207 N UNION AVE, SUITE A, ROSWELL, NM 882013068
Recorded as GORDON MOORE, D.D.S.
Dentist (License #DD2191 in NM)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
207 N Union Ave, Suite A
Roswell, NM 882013068
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