Individual
DR. ANDREW F MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
900 SHILOH ROAD, CORINTH, MS 38834-2620
(662) 287-1171
(662) 287-2575
Mailing address
900 SHILOH ROAD, CORINTH, MS 38834-2620
(662) 287-1171
(662) 287-2575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3010-97
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660226
—
MS
01
—
556295
UNITED CONCORDIA
—
01
—
ZIX782
BCBS OF MA
—
Enumeration date
11/15/2006
Last updated
07/08/2007
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