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Dr. Lisa Marie Moore, DDS

Pediatric Dentistry in South Bend, IN · enumerated 2006 · practices at The Dental Center of South Bend LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407875891

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Registry record

Entity type Individual (Type 1)
Name Dr. Lisa Marie Moore
Credential DDS
Sex Female
Practice address 1005 E Lasalle Ave, South Bend, IN, 46617
Fax (574) 245-7502
Enumeration date Jul 18, 2006
Last updated in NPPES Jul 9, 2007

Taxonomy & licenses

1223P0221X Pediatric Dentistry Dental Providers · License 12009706 (IN) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Lisa Moore practice?
The practice location on file with NPPES is in South Bend, IN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Lisa Moore?
The National Provider Identifier (NPI) for Lisa Moore is 1407875891, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.