person
Dr. Alisa O Moore, DDS
Pediatric Dentist in Atlanta, Georgia
NPI 1770674806

Alisa O Moore is a Pediatric Dentist based in Atlanta, GA and is specialized in Pediatric Dentistry. Alisa O Moore practices in Atlanta, GA and has the professional credentials of DDS. The NPI Number for Alisa O Moore is 1770674806 and holds a License No. 10731 (Georgia).

The current practice location address for Alisa O Moore is 2440 Fairburn Rd Sw, Atlanta, GA and can be reached out via phone at 404-349-7777 and via fax at 404-349-8459.

Location: 2440 Fairburn Rd Sw, Atlanta, GA, 31131-0065
person
Provider Profile Details
NPI Number
1770674806
Provider Name
Alisa O Moore
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2440 Fairburn Rd Sw, Atlanta, GA, 31131-0065
Phone Number
404-349-7777
Fax Number
404-349-8459
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2440 Fairburn Rd Sw
City
State
Zip
30331-5256
Phone Number
404-349-7777
Fax Number
404-349-8459
person
Provider Business Mailing Address Details
Address
2440 Fairburn Rd Sw
City
State
Zip
30331-5256
Phone Number
404-349-7777
Fax Number
404-349-8459
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
10731 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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