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Active NPI 1548828916 Individual Practitioner Male Practitioner

Dr. Evan Stout Moore , DDS

Dentist - General Practice • Madison, NC

Professional Overview & Biography Verified Profile Summary

Dr. Evan Moore, DDS is a registered healthcare professional specializing in Dentist - General Practice in Madison, NC. Practice services are available at 201 N DALTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 N Dalton St

Madison, NC 270251903

Telephone 3365489678
Associated Practice Facility / Clinic
🏢 William H. Lewis, Jr. Dds Pa Facility NPI 1538331004

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Madison, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Madison, NC (4047 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

CMS Verified: 2024-09-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 11410

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

1 Associated Practitioners
Dr. William Lewis , DDS

Dentist - General Practice

NPI 1942411749

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active May 31, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2019

Registered at 201 N DALTON ST, MADISON, NC 270251903 (Tel: 3365489678)

📍
Updated Business Mailing Address May 31, 2019

Registered at 19810 W CATAWBA AVE STE A1, CORNELIUS, NC 280314056

👤
Provider Name / Credentials Updated May 31, 2019

Recorded as EVAN MOORE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2019

Dentist (License #11410 in NC)

🟢
Initial NPI Registration & Enumeration May 31, 2019

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: 1548828916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2019
Last Update: September 18, 2024
Sole Proprietor: No
Update or Correct Profile

Mailing Address

19810 W Catawba Ave Ste A1

Cornelius, NC 280314056

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.