Individual
DR. GARY N MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3695 STAR RANCH RD, COLORADO SPRINGS, CO 80906-5980
(719) 597-7979
(719) 597-8084
Mailing address
3695 STAR RANCH RD, COLORADO SPRINGS, CO 80906-5980
(719) 597-7979
(719) 597-8084
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
8930
CO
1223G0001X
General Practice Dentistry
3216
NV
1223G0001X
General Practice Dentistry
Primary
8585
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013331560
—
CO
05
—
13954318
—
CO
01
—
1881255107
NPI2
CO
Enumeration date
01/11/2006
Last updated
02/05/2026
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