Susanne Reynolds Moore, DMD

General Practice Dentistry · Brandon, MS

Individual Active NPI

NPI number 1801930532

Practice location

1149 Old Fannin Rd
Suite 26
Brandon, MS 39047
Phone
(601) 992-7972
Fax
(601) 992-7972

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NPI record

NPI
1801930532
Entity type
Individual (Type 1)
Enumeration date
February 16, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 304598 MS

Mailing address

1149 Old Fannin Road
Suite 26
Brandon, MS 39047
Phone
(601) 992-7972
Fax
(601) 992-7972

About Dr. Moore

Susanne Reynolds Moore, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047. The NPI number 1801930532 was assigned on February 16, 2007 and the record was last updated on July 8, 2007.

Dr. Moore lists a license in the registry: #304598 (MS) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Susanne Reynolds Moore, DMD?

The NPI number is 1801930532.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (601) 992-7972.

Where is Dr. Moore located?

1149 Old Fannin Rd, Suite 26, Brandon, MS 39047.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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