Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alisa O Moore, DDS

Individual provider Pediatric Dentistry · NPI 1770674806

Dr. Alisa O Moore, DDS is a Pediatric Dentistry in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2440 Fairburn Rd SW Ste 301
Atlanta, GA 30331-5256
Phone: (404) 349-7777
Fax: (404) 349-8459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 10731 (GA)

Record details

NPI number1770674806
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 310065, Atlanta, GA 31131-0065

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