Lisa Marie Moore, DDS
Pediatric Dentistry · South Bend, IN
Lisa Marie Moore, DDS is a pediatric dentistry with a practice address in South Bend, Indiana, and NPI 1407875891, issued on Jul 18, 2006. Check the license (Indiana 12009706, as entered in NPPES) with the Indiana board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Lisa Marie Moore
- Credential
- DDS
- Primary taxonomy
- Pediatric Dentistry 1223P0221X
- License number
- 12009706 IN
Self-reported in NPPES; status is on the state search - Practice location
- 1005 E Lasalle Ave, South Bend, IN 46617
- Phone
- (574) 245-7501
- Enumerated
- Jul 18, 2006
- Record last updated
- Jul 9, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (574) 245-7502
- Entity
- Type 1 · individual
Also registered at 1005 E Lasalle Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Theresa Alexander, DDSGeneral Practice Dentistry1588683791
- Robert Austgen, DDSPediatric Dentistry1033138482
- Douglas Barton, DDSPediatric Dentistry1831118280
- Matthew Bernard, DMDPediatric Dentistry1902395668
- Joseph Cellini, DMDDentist1578123360
- Richard Cohen, DDSPediatric Dentistry1003835489
Verify Lisa Marie Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 12009706Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Pediatric Dentistry providers in Indiana
There are 185 pediatric dentistry records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other pediatric dentistry records in Indiana
- Naheed AhmadFishers, IN1609306752
- Noor Al Shaltoni, DDSFishers, IN1912631938
- Lauren Alavanja, D.D.S.South Bend, IN1427495340
- Daniel AllenBrownsburg, IN1326500596
- Elizabeth AsdellIndianapolis, IN1881387363
- Amanda Atz, DDSColumbia City, IN1912225947
- Robert Austgen, DDSSouth Bend, IN1033138482
- Douglas Barton, DDSSouth Bend, IN1831118280
- Philippe Bautista, DMDJeffersonville, IN1053423301
- Kevin Beadle, DDSNoblesville, IN1376559393
Common questions
What is Lisa Marie Moore, DDS's NPI number?
Lisa Marie Moore, DDS's National Provider Identifier (NPI) is 1407875891, issued on Jul 18, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Lisa Marie Moore, DDS located?
The NPPES record lists a practice address at 1005 E Lasalle Ave, South Bend, IN, 46617. Phone: (574) 245-7501. Providers update this record themselves, so call before visiting.
How can I verify Lisa Marie Moore, DDS's license?
NPPES lists Indiana license number 12009706, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.