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

Dr. Mariya Moore, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972112969

Dr. Mariya Moore, DDS is a Student in an Organized Health Care Education/Training Program in Fairfield, Connecticut. Practices as a sole proprietor and works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2020
Specialties on file
2
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

1478 Post Rd
Fairfield, CT 06824-5938
Phone: (203) 255-6851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1545 Atlantic Ave, Brooklyn, NY 11213-1122 — (718) 613-7140

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 13620 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972112969
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 27, 2020
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address175 Jaffrey St, Brooklyn, NY 11235-3022

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