DR. Ethan Embrey Moore, DMD

NPI #1710555115 in Columbia, Mississippi

Provider Information

NPI Number: 1710555115
Entity Type: Individual
Name: DR. Ethan Embrey Moore, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 14, 2021
Last Updated: Jul 7, 2025

Practice Location

Address: 430 BROAD ST
City: Columbia
State: Mississippi
ZIP Code: 39429-3006
Phone: (601) 736-7125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Provider Name	Specialty	City
DR. Steven Alan Clement, D.M.D.	Dentist - General Practice	Columbia	AI Deep Dive
DR. Frank O. Winn, D.D.S.	Dentist - General Practice	Gautier	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Cronin Dentistry of Columbia, LLC	Dentist - General Practice	Columbia	AI Deep Dive
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