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

Dr. Charles Andrew Moore, DMD

Individual provider Dentist · NPI 1245302918

Dr. Charles Andrew Moore, DMD is a Dentist in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5462 Memorial Dr
Stone Mountain, GA 30083-3239
Phone: (404) 299-0022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN008787 (GA)

Record details

NPI number1245302918
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESOctober 27, 2008
Mailing address5390 Fontenoy Ct, Norcross, GA 30071-4700

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