Doctor profile · Federal record
Dr. Jack Moore, DDS
Pediatric Dentist · Roseville, CA
- NPI 1982890331
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
700 Sunrise Avenue, Suite C
Roseville, CA 956614561
(916) 782-1209
fax (916) 782-1770
Credentials & registration
- NPI registered
- September 2007 — 19 yrs on file
- Specialty taxonomy
- 1223P0221X — NUCC code
- State license (1)
- California #17346
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1982890331. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$27
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zest Holdings, LLC | 1 | $26.95 |
By nature of payment
Frequently asked questions
What is Dr. Jack Moore's medical specialty?
Dr. Jack Moore practices Pediatric Dentist in Roseville, CA.
Where does Dr. Jack Moore practice?
Dr. Jack Moore practices at 700 Sunrise Avenue, Roseville, CA 956614561. Office phone: 9167821209.
What is Dr. Jack Moore's NPI?
Dr. Jack Moore's National Provider Identifier (NPI) is 1982890331, issued by NPPES.