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MOORE FAMILY DENTAL, PLLC
NPI 1992695571
Dentist - General Practice in Columbia, MS

Active since July 07, 2025
430 BROAD ST, COLUMBIA, MS 39429(601) 736-7125 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moore Family Dental, Pllc NPPES

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

MOORE FAMILY DENTAL, PLLC (NPI 1992695571), doing business as Columbia Family Dental, is a healthcare organization registered as a general practice in Columbia, Mississippi and active in the NPI registry since July 2025. The organization lists Ethan Embrey Moore, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1992695571
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOORE FAMILY DENTAL, PLLC
Location Address430 BROAD STColumbia, MS 39429-3006
Mailing Address430 Broad StColumbia, MS 39429-3006 · (601) 736-7125
Phone(601) 736-7125
Organization SubpartNo
Authorized OfficialEthan Embrey MooreDentist/owner · (601) 736-7125
Enumeration DateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1992695571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
430 BROAD ST, Columbia, MS 39429
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Other Names 1

Doing Business AsColumbia Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. ETHAN EMBREY MOORE DMD
Dentist (General Practice)
430 BROAD ST
COLUMBIA, MS 39429
Marion County (601) 736-7125
MAI LATI
Dentist
430 BROAD ST
COLUMBIA, MS 39429
Marion County (601) 736-7125
COLUMBIA FAMILY DENTAL LLC
Dentist
430 BROAD ST
COLUMBIA, MS 39429
Marion County (601) 543-6510

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 Moore Family Dental, PLLC's NPI number?

The NPI number for Moore Family Dental, PLLC is 1992695571. It was assigned to this organization in the NPPES registry on July 7, 2025. The provider is doing business as Columbia Family Dental.

Where is Moore Family Dental, PLLC located?

Moore Family Dental, PLLC is located at 430 Broad St, Columbia, MS 39429. The listed phone number is (601) 736-7125.

What is Moore Family Dental, PLLC'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 Moore Family Dental, PLLC was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.