location
search-icon
person
Dr. Ethan Embrey Moore, DMD
General Practice Dentistry in Hattiesburg, Mississippi
NPI 1710555115

Ethan Embrey Moore is a General Practice Dentistry based in Hattiesburg, MS and is specialized in General Practice. Ethan Embrey Moore practices in Hattiesburg, MS and has the professional credentials of DMD. The NPI Number for Ethan Embrey Moore is 1710555115 and holds a License No. 4212-21 (Mississippi).

The current practice location address for Ethan Embrey Moore is 4216 Lincoln Rd, Hattiesburg, MS and can be reached out via phone at 601-268-3333.

Location: 4216 Lincoln Rd, Hattiesburg, MS, 39402-3093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710555115
Provider Name
Ethan Embrey Moore
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4216 Lincoln Rd, Hattiesburg, MS, 39402-3093
Phone Number
601-268-3333
Fax Number
Provider Enumeration Date
06/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4216 Lincoln Rd
City
Hattiesburg
State
Mississippi
Zip
39402-3093
Phone Number
601-268-3333
Fax Number
person
Provider Business Mailing Address Details
Address
4216 Lincoln Rd
City
Hattiesburg
State
Mississippi
Zip
39402-3093
Phone Number
601-268-3333
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4212-21 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.