DR. SUSANNE REYNOLDS MOORE DMD
NPI 1801930532
Dentist - General Practice in Brandon, MS

Active since February 16, 2007
1149 OLD FANNIN RD, SUITE 26, BRANDON, MS 39047(601) 992-7972(601) 992-7972 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dentist
  • General Practice

About SUSANNE MOORE

This page provides the complete NPI Profile along with additional information for Susanne Moore, a provider established in Brandon, Mississippi with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1801930532 assigned on February 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 304598 (MS). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1801930532 Verify this NPI
Provider Name
DR. SUSANNE REYNOLDS MOORE DMD
Gender
Female
Entity Type
Individual
Location Address
1149 OLD FANNIN RD SUITE 26 BRANDON, MS 39047
Location Phone
(601) 992-7972
Location Fax
(601) 992-7972
Mailing Address
1149 OLD FANNIN ROAD SUITE 26 BRANDON, MS 39047
Mailing Phone
(601) 992-7972
Mailing Fax
(601) 992-7972
Is Sole Proprietor?
No
Enumeration Date
02-16-2007
Last Update Date
07-08-2007
Code Navigator

A dentist like Susanne Moore is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
304598
License State
MS
Taxonomy Description
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.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Chiropractor
1149 OLD FANNIN RD, SUITE 22
BRANDON, MS 39047
Dentist
1149 OLD FANNIN RD, #26
BRANDON, MS 39047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801930532, enumerated as an "individual" on February 16, 2007.

The provider is located at 1149 OLD FANNIN RD SUITE 26 BRANDON, MS 39047 and the phone number is (601) 992-7972.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.