Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659456085 Individual Practitioner Male Practitioner

Dr. Bobby E Moore , DDS

Dentist - General Practice • Enid, OK

Professional Overview & Biography Verified Profile Summary

Dr. Bobby Moore, DDS is a registered healthcare professional specializing in Dentist - General Practice in Enid, OK. Practice services are available at 615 E OKLAHOMA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

615 E Oklahoma Ave
Ste 103

Enid, OK 737015951

Telephone 5802331717
Fax 5802331719
Associated Practice Facility / Clinic
🏢 Womens Health & Wellness Facility NPI 1770571598

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Enid, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
24 Specialists

Practicing in Enid, OK (1496 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 OK 5731

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
NPI 1679408108

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 20, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2007

Registered at 615 E OKLAHOMA AVE, STE 103, ENID, OK 737015951 (Tel: 5802331717)

📍
Updated Business Mailing Address November 20, 2007

Registered at 615 E OKLAHOMA AVE, STE 103, ENID, OK 737015951 (Tel: 5802331717)

👤
Provider Name / Credentials Updated November 20, 2007

Recorded as BOBBY MOORE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2007

Dentist (License #5731 in OK)

🟢
Initial NPI Registration & Enumeration October 26, 2006

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: 1659456085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: November 20, 2007
Sole Proprietor: Yes

Mailing Address

615 E Oklahoma Ave, Ste 103

Enid, OK 737015951

Phone: 5802331717

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.