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Deactivated NPI 1790802320 Deactivated / Inactive NPI Male Practitioner

Dr. Roland E Moore , DDS

Dentist - General Practice • Arlington, TX

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

Registration / Start Date March 26, 2007
NPI Deactivation Date June 12, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Roland Moore, DDS was a registered Dentist - General Practice practicing in Arlington, TX. Throughout an active medical career spanning 18 years, Dr. Moore provided care at the practice location at 1005 N COLLINS ST until profile deactivation on 2025-06-12.

Practice Location & Contact Primary Location

Practice Address

1005 N Collins St

Arlington, TX 760116129

Telephone 8177954044

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Arlington, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
145 Specialists

Practicing in Arlington, TX (10570 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 TX 10067

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

3 Associated Practitioners
John Barnett

Dentist - Pediatric Dentistry

NPI 1104975861
Debra Coleman

Dentist - General Practice

NPI 1104984889
Stanley Rhoads

Dentist - General Practice

NPI 1316005192

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 12, 2025

Record deactivated on June 12, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1005 N COLLINS ST, ARLINGTON, TX 760116129 (Tel: 8177954044)

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Updated Business Mailing Address July 08, 2007

Registered at 1005 N COLLINS ST, ARLINGTON, TX 760116129 (Tel: 8177954044)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROLAND MOORE, DDS

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

Dentist (License #10067 in TX)

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Initial NPI Registration & Enumeration March 26, 2007

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: 1790802320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2007
Last Update: July 08, 2007
Deactivation Date: June 12, 2025

Mailing Address

1005 N Collins St

Arlington, TX 760116129

Phone: 8177954044

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.