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

Raven Shanice Moore, DDS

Individual provider Dentist · NPI 1467140574

Raven Shanice Moore, DDS is a Dentist in Smyrna, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023
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

574 W Sam Ridley Pkwy
Smyrna, TN 37167-5621
Phone: (615) 488-1151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12134 (TN)

Record details

NPI number1467140574
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing address2521 Oak Forest Dr, Antioch, TN 37013-1840

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