| Moore Family Dental, Pllc | |
|
430 Broad St Columbia MS 39429-3006 | |
| (601) 736-7125 | |
| Not Available |
| Full Name | Moore Family Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 430 Broad St, Columbia, Mississippi |
| Authorized Official Name and Position | Ethan Embrey Moore (DENTIST/OWNER) |
| Authorized Official Contact | 6017367125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Family Dental, Pllc 430 Broad St Columbia MS 39429-3006 Ph: (601) 736-7125 | Moore Family Dental, Pllc 430 Broad St Columbia MS 39429-3006 Ph: (601) 736-7125 |
| NPI Number | 1992695571 |
|---|---|
| Provider Enumeration Date | 07/07/2025 |
| Last Update Date | 07/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992695571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Cronin Dentistry Of Columbia Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Broad St., Columbia, MS 39429 Phone: 601-736-1761 Fax: 601-736-1766 | |
Columbia Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 Broad St, Columbia, MS 39429 Phone: 601-543-6510 |