Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720165954 Individual Practitioner Male Practitioner

Dr. John Gregory Moore , DDS

Dentist - General Practice • Bridgeport, WV

Professional Overview & Biography Verified Profile Summary

Dr. John Moore, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bridgeport, WV. Practice services are available at 1160 JOHNSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1160 Johnson Ave
Suite 104

Bridgeport, WV 263301487

Telephone 3048422361
Associated Practice Facility / Clinic
🏢 Psychiatric Associates Facility NPI 1790863744

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bridgeport, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.5 Yrs
Regional Practice Density
13 Specialists

Practicing in Bridgeport, WV (580 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 WV 2794

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

Medicaid State Provider ID
0137163000 (WV)
Commercial Insurance / Payer ID United Concordia
94661 (WA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1144538745

Doctor of Dental Surgery

NPI 1609213313

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1160 JOHNSON AVE, SUITE 104, BRIDGEPORT, WV 263301487 (Tel: 3048422361)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1160 JOHNSON AVE, SUITE 104, BRIDGEPORT, WV 263301487 (Tel: 3048422361)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN MOORE, DDS

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

Dentist (License #2794 in WV)

🟢
Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Moore. Be the first to share your experience!

Sign in to leave a review for Dr. John Moore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1720165954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1160 Johnson Ave, Suite 104

Bridgeport, WV 263301487

Phone: 3048422361

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.