Individual provider · Type 1 NPI
Ethan Embrey Moore, DMD
General Practice Dentistry · Columbia, MS
NPI number
1710555115
Active
Practice location
430 Broad St
Columbia, MS 39429-3006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 4212-21 (MS) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3 other providers at this address
Other general practice dentistry providers in Columbia
About NPI 1710555115
Ethan Embrey Moore, DMD's National Provider Identifier is 1710555115, issued on Jun 14, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Columbia, MS. The record was last updated on Jul 7, 2025.