| Dr Alecia A Moore, DMD | |
|
97 Hal Crocker Rd, Ellisville, MS 39437-2088 | |
| (601) 477-3779 | |
| Not Available |
| Full Name | Dr Alecia A Moore |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 97 Hal Crocker Rd, Ellisville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114289394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3638-12 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alecia A Moore, DMD 107 N Van Buren St, Carthage, MS 39051-4160 Ph: (601) 267-3722 | Dr Alecia A Moore, DMD 97 Hal Crocker Rd, Ellisville, MS 39437-2088 Ph: (601) 477-3779 |
Paul Ivan Hathorn, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1101 Highway 11 S, Ellisville, MS 39437 Phone: 601-477-5792 Fax: 601-477-5782 | |
Stephen L Surber, DMD Dentist Medicare: Medicare Enrolled Practice Location: 401 Highway 11 S, Ellisville, MS 39437 Phone: 601-477-3771 Fax: 601-477-3747 |