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

Q: What is Susanne Moore's NPI number?

The NPI number for Susanne Moore is 1801930532. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Q: What is Susanne Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Susanne Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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About Dr. Susanne Reynolds Moore Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSANNE REYNOLDS MOORE DMD (NPI 1801930532) is an individual general practice provider in Brandon, Mississippi, licensed in Mississippi (304598) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1801930532

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SUSANNE REYNOLDS MOORECredential: DMD

Location Address1149 OLD FANNIN RD, SUITE 26Brandon, MS 39047

Mailing Address1149 Old Fannin Road, Suite 26Brandon, MS 39047 · (601) 992-7972 · Fax (601) 992-7972

Phone(601) 992-7972

Fax(601) 992-7972

Sole ProprietorNo

Enumeration DateFebruary 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1801930532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 304598

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.

1149 OLD FANNIN RD, Brandon, MS 39047

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HAZEL MCCAUGHAN DMD

Dentist

1149 OLD FANNIN RD, #26
BRANDON, MS 39047

Rankin County (601) 992-7972

BACK CARE CENTER, INC.

Chiropractor

1149 OLD FANNIN RD, SUITE 22
BRANDON, MS 39047

Rankin County (601) 992-3050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susanne Moore's NPI number?

The NPI number for Susanne Moore is 1801930532. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Susanne Moore located?

Susanne Moore practices at 1149 Old Fannin Rd Suite 26, Brandon, MS 39047. The listed phone number is (601) 992-7972.

What is Susanne Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Susanne Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.