Individual provider · Type 1 NPI

Susanne Reynolds Moore, DMD

General Practice Dentistry · Brandon, MS

NPI number 1801930532 Active

Practice location

1149 Old Fannin Rd, Suite 26
Brandon, MS 39047

Fax (601) 992-7972

Mailing address

1149 Old Fannin Road, Suite 26
Brandon, MS 39047

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X304598 (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.

2 other providers at this address

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About NPI 1801930532

Susanne Reynolds Moore, DMD's National Provider Identifier is 1801930532, issued on Feb 16, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Brandon, MS. The record was last updated on Jul 8, 2007.