| Dr Ethan Embrey Moore, DMD | |
|
430 Broad St, Columbia, MS 39429-3006 | |
| (601) 736-7125 | |
| Not Available |
| Full Name | Dr Ethan Embrey Moore |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 430 Broad St, Columbia, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710555115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4212-21 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Embrey Moore, DMD 430 Broad St, Columbia, MS 39429-3006 Ph: (601) 736-7125 | Dr Ethan Embrey Moore, DMD 430 Broad St, Columbia, MS 39429-3006 Ph: (601) 736-7125 |
Dr. Michael C Humphreys, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 Broad St, Columbia, MS 39429 Phone: 601-736-7125 Fax: 601-736-9190 | |
Dr. Shanalyn Marae Harris, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 433 Broad St, Columbia, MS 39429 Phone: 601-736-3286 Fax: 601-736-3939 | |
Dr. Tony Lavelle Humphries, D. M. D. Dentist Medicare: Medicare Enrolled Practice Location: 144 Old Highway 98 E, Columbia, MS 39429 Phone: 601-736-5681 Fax: 601-736-5606 | |
Mai Lati, Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 Broad St, Columbia, MS 39429 Phone: 601-736-7125 | |
Dr. Andrew James Harper, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 144 Old Highway 98 E, Columbia, MS 39429 Phone: 601-736-5681 | |
Dr. Steven Alan Clement, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Columbia, MS 39429 Phone: 601-736-6313 |