Organization
MOORE FAMILY DENTAL, PLLC
Active
Other names
Columbia Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN EMBREY MOORE DMD (DENTIST/OWNER)
(601) 736-7125
Entity
Organization
Contact information
Practice address
430 BROAD ST, COLUMBIA, MS 39429-3006
(601) 736-7125
Mailing address
430 BROAD ST, COLUMBIA, MS 39429-3006
(601) 736-7125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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