DR. ETHAN MOORE, DMD
Dentist - General Practice
Active
Individual
NPI: 1710555115
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 4212-21 (MS) |
Frequently Asked Questions
NPI 1710555115 is the National Provider Identifier for DR. ETHAN MOORE, DMD, a Dentist - General Practice provider located in Columbia, MS. This NPI was enumerated on June 14, 2021.
DR. ETHAN MOORE, DMD practices at 430 BROAD ST, Columbia, MS 39429.
Quick Facts
- NPI
- 1710555115
- Type
- Individual
- Enumerated
- Jun 14, 2021
- Last Updated
- Jul 7, 2025
Nearby Providers
-
RASHAN FOXWORTH
Driver
-
DR. STEPHEN WASCOMB, M.D.
General Practice
-
DR. KEVIN HOLMES, M.D.
Internal Medicine
-
DR. TONY HUMPHRIES, D. M. D.
Dentist
-
2ND GENERATION HEALTHCARE, LLC
Skilled Nursing Facility