DR. SUSANNE REYNOLDS MOORE DMD NPI 1801930532

NPI Information

  • NPI: 1801930532
  • Provider Name: DR. SUSANNE REYNOLDS MOORE, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 1149 OLD FANNIN RD
    SUITE 26
    BRANDON, MS
    ZIP 39047
  • Phone: (601) 992-7972

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NPI Details

DR. Susanne Reynolds Moore, DMD is a general practice dentist in Brandon, MS. The provider is 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. DR. Susanne Reynolds Moore, DMD NPI is 1801930532. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1149 OLD FANNIN RD
SUITE 26
BRANDON, MS
ZIP 39047
Phone: (601) 992-7972
Fax: (601) 992-7972

The enumeration date for this NPI number is 2/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice304598MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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