Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801930532 Individual Practitioner Female Practitioner

Dr. Susanne Reynolds Moore , DMD

Dentist - General Practice • Brandon, MS

Professional Overview & Biography Verified Profile Summary

Dr. Susanne Moore, DMD is a registered healthcare professional specializing in Dentist - General Practice in Brandon, MS. Practice services are available at 1149 OLD FANNIN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1149 Old Fannin Rd
Suite 26

Brandon, MS 39047

Telephone 6019927972
Fax 6019927972
Associated Practice Facility / Clinic
🏢 Back Care Center, Inc. Facility NPI 1922254929

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brandon, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
24 Specialists

Practicing in Brandon, MS (895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 304598

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1376089904

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1149 OLD FANNIN RD, SUITE 26, BRANDON, MS 39047 (Tel: 6019927972)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1149 OLD FANNIN ROAD, SUITE 26, BRANDON, MS 39047 (Tel: 6019927972)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSANNE MOORE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #304598 in MS)

🟢
Initial NPI Registration & Enumeration February 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801930532
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1149 Old Fannin Road, Suite 26

Brandon, MS 39047

Phone: 6019927972

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.