Dr. Ethan Embrey Moore , DMD
Dentist - General Practice • Columbia, MS
Professional Overview & Biography Verified Profile Summary
Dr. Ethan Moore, DMD is a registered healthcare professional specializing in Dentist - General Practice in Columbia, MS. Practice services are available at 430 BROAD ST under active NPI credentials.
Practice Location & Contact Primary Location
430 Broad St
Columbia, MS 394293006
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Columbia, MS
Practicing in Columbia, MS (895 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-07-07NUCC Taxonomy Code: 1223G0001X
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
Dentist
Doctor of Dental Medicine
Dentist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 430 BROAD ST, COLUMBIA, MS 394293006 (Tel: 6017367125)
Registered at 430 BROAD ST, COLUMBIA, MS 394293006 (Tel: 6017367125)
NPI status registered as active in NPPES database
Registered at 4216 LINCOLN RD, HATTIESBURG, MS 394023093 (Tel: 6012683333)
Registered at 4216 LINCOLN RD, HATTIESBURG, MS 394023093 (Tel: 6012683333)
Recorded as ETHAN MOORE, DMD
Dentist (License #4212-21 in MS)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
430 Broad St
Columbia, MS 394293006
Phone: 6017367125
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