Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316529332 Individual Practitioner Male Practitioner

Dr. Dillon Raymond Moore , DDS

Dentist - General Practice • Central Falls, RI

Professional Overview & Biography Verified Profile Summary

Dr. Dillon Moore, DDS is a registered healthcare professional specializing in Dentist - General Practice in Central Falls, RI. Practice services are available at 1000 BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Broad St

Central Falls, RI 028631507

Telephone 4017220081
Fax 4013120318
Associated Practice Facility / Clinic
🏢 Memorial Hospital Facility NPI 1841418928

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Central Falls, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Central Falls, RI (373 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: 2025-10-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License RI DEN03598

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ri State License
DEN03598 (RI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Charlotte Crider

Family Medicine

NPI 1063152916
Leslie Kennedy , NP-C

Nurse Practitioner - Family

NPI 1114400256

Nurse Practitioner (Certified)

Nicole Snapper

Nurse Practitioner - Family

NPI 1114498995
NPI 1134849953

PAS

Katelyn Larsson , PA-C

Physician Assistant

NPI 1174053888

Physician Assistant (Certified)

Katherine Rodriguez

Community Health Worker

NPI 1174404461

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 13, 2025

Registered at 1000 BROAD ST, CENTRAL FALLS, RI 028631507 (Tel: 4017220081)

📍
Updated Practice Location July 18, 2022

Registered at 39 EAST AVE, PAWTUCKET, RI 028604003 (Tel: 4017220081)

📍
Updated Business Mailing Address July 18, 2022

Registered at 39 EAST AVE, PAWTUCKET, RI 028604003 (Tel: 4017220081)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2022

Dentist (License #DEN03598 in RI)

NPI Profile Active April 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2021

Registered at 20 YORK ST, NEW HAVEN, CT 065103220 (Tel: 2036884242)

📍
Updated Business Mailing Address April 28, 2021

Registered at 20 YORK ST, NEW HAVEN, CT 065103220 (Tel: 2036884242)

👤
Provider Name / Credentials Updated April 28, 2021

Recorded as DILLON MOORE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 28, 2021

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: 1316529332
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2021
Last Update: October 13, 2025
Sole Proprietor: No

Mailing Address

39 East Ave

Pawtucket, RI 028604003

Phone: 4017220081

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.