Dr. Andrew Lewis Moore , DDS
Dentist - General Practice • Stafford, VA
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. Andrew Moore has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Andrew Moore, DDS was a registered Dentist - General Practice practicing in Stafford, VA. Throughout an active medical career spanning 14 years, Dr. Moore provided care at the practice location at 2063 JEFFERSON DAVIS HWY until profile deactivation on 2019-09-23.
Practice Location & Contact Primary Location
2063 Jefferson Davis Hwy
Stafford, VA 225547266
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Stafford, VA
Practicing in Stafford, VA (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 23, 2019
NPI status registered as active in NPPES database
Registered at 2063 JEFFERSON DAVIS HWY, STAFFORD, VA 225547266 (Tel: 5406597515)
Registered at PO BOX 968, STAFFORD, VA 225550968 (Tel: 5406597515)
Recorded as ANDREW MOORE, DDS
Dentist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 968
Stafford, VA 225550968
Phone: 5406597515
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