Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN EMBREY MOORE, DMD
ActiveDR. ETHAN EMBREY MOORE, DMD is a General Dentistry healthcare provider located in COLUMBIA, Mississippi. NPI 1710555115 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · COLUMBIA, MS
Registration Details
- NPI Number
- 1710555115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2021 (5.2034629285838 yrs)
- Last Updated
- Jul 7, 2025
- License
-
4212-21 (MS)
Practice Information
- Address
-
430 BROAD STCOLUMBIA, MS, 394293006Browse MS providers · Browse ZIP 39429
- Phone
- 6017367125
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in COLUMBIA, MS
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN ALAN CLEMENT | D.M.D. | 1972526184 |
| DR. SHANALYN MARAE HARRIS | D.M.D. | 1376750836 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.