Active NPIIndividual providerSole proprietor

Dr. Mariya Moore, DDS

Dentist, Pediatric Dentistry in Fairfield, Connecticut

NPI Number1972112969
Practice location
1478 Post RD, Fairfield, CT 06824-5938
Fax
—
Last updated
October 7, 2026

Mariya Moore is a Dentist, Pediatric Dentistry based in Fairfield, CT. Mariya Moore practices in Fairfield, CT and has the professional credentials of DDS. The NPI Number for Mariya Moore is 1972112969 and holds a License No. 062778 (NY). The current practice location address for Mariya Moore is 1478 Post RD, Fairfield, CT 06824-5938 and can be reached out via phone at 203-255-6851.

Provider Profile Details

NPI Number
1972112969
Provider Name
Mariya Moore
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1478 Post RD, Fairfield, CT 06824-5938
Phone Number
203-255-6851
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
July 27, 2020
Last Update Date
October 7, 2026
Certification Date
October 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1478 Post RD
Fairfield, CT 06824-5938
Zip
06824-5938
Phone Number
203-255-6851
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
175 Jaffrey St
Brooklyn, NY 11235-3022
City
Brooklyn
State
NY
Zip
11235-3022
Phone Number
347-224-6796

License Information

License Number (1)
062778
License State (1)
NY
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X · Primary
License Number (3)
22DI02925100
License State (3)
NJ
Taxonomy (3)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (4)
13620
License State (4)
CT
Taxonomy (4)
Dentist, Pediatric Dentistry · 1223P0221X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mariya Moore, DDS?

The NPI number of Dr. Mariya Moore, DDS is 1972112969. It was assigned on July 27, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Mariya Moore, DDS?

Dr. Mariya Moore, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NY under license number 062778.

Where does Dr. Mariya Moore, DDS practice?

The practice location is 1478 Post RD, Fairfield, CT 06824-5938. The office can be reached at 203-255-6851 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972112969 directly on the NPPES registry website.

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