Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073891669 Individual Practitioner Female Practitioner

Dr. Stephanie Nancy Mora , DMD

Dentist - General Practice • Quantico, VA

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Mora, DMD is a registered healthcare professional specializing in Dentist - General Practice in Quantico, VA. Practice services are available at 3259 CATLIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3259 Catlin Ave

Quantico, VA 221345109

Telephone 7037841528
Associated Practice Facility / Clinic
🏢 Nhc Quantico Facility NPI 1508839903

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Quantico, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Quantico, VA (3535 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: 2025-03-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 10621

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

3001 Green Bay Rd

North Chicago, IL 600643048

Phone: 2246104846

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Debra Manning , MD

Family Medicine

NPI 1134191778

Doctor of Medicine (M.D.)

Dr. Douglas Basehoar , DDS

Dentist - General Practice

NPI 1255383345

Doctor of Dental Surgery

NPI 1265402994

Doctor of Optometry

Dr. Richard Kemp , MD

Preventive Medicine - Aerospace Medicine

NPI 1285996801

Doctor of Medicine (M.D.)

Dr. David Shiveley , MD, MPH

Preventive Medicine - Aerospace Medicine

NPI 1306059308

Doctor of Medicine (M.D.), Master of Public Health

Dr. Ramesh Doshi , MD

Radiology - Diagnostic Radiology

NPI 1477517910

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location March 20, 2025

Registered at 3259 CATLIN AVE, QUANTICO, VA 221345109 (Tel: 7037841528)

📍
Updated Business Mailing Address March 20, 2025

Registered at 3259 CATLIN AVE, QUANTICO, VA 221345109

📍
Updated Practice Location August 25, 2022

Registered at 3D DEN BN 3D MLG, UNIT 38450, FPO, AP 96373 (Tel: 9178228780)

📍
Updated Business Mailing Address August 25, 2022

Registered at PSC 559 BOX 5505, FPO, AP 963770056

👤
Provider Name / Credentials Updated August 25, 2022

Recorded as STEPHANIE MORA, D.M.D.

NPI Profile Active July 30, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2011

Registered at 3001 GREEN BAY RD, NORTH CHICAGO, IL 600643048 (Tel: 2246104846)

📍
Updated Business Mailing Address July 30, 2011

Registered at 3001 GREEN BAY RD, NORTH CHICAGO, IL 600643048

👤
Provider Name / Credentials Updated July 30, 2011

Recorded as STEPHANIE MOORE, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2011

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 30, 2011

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: 1073891669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2011
Last Update: March 20, 2025
Sole Proprietor: No

Mailing Address

3259 Catlin Ave

Quantico, VA 221345109

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.