Individual
DR. TOBIE DELTON MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
643 HIGHWAY 61 S, WOODVILLE, MS 39669-1297
(601) 888-3412
(601) 888-3415
Mailing address
PO BOX 1297, WOODVILLE, MS 39669-1297
(601) 888-3412
(601) 888-3415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
169675
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00064270
—
MS
Enumeration date
07/15/2005
Last updated
07/08/2007
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