Individual
NICHOLAS A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8950 MAIN ST, WOODSTOCK, GA 30188-4908
(770) 926-4447
Mailing address
3204 POWERS FRD SE, MARIETTA, GA 30067-5189
(770) 356-7119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123913
GA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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