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General NPI Number Information
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NPI Number | 1508703018
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Entity Type | Organization
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Legal Business Name | MOORE FAMILY DENTAL CARE PLLC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 900 E SHILOH RD
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City | CORINTH
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State | MS
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Zip | 38834-2620
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Country | US
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Telephone | 662-287-1171
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Fax | 662-287-2575
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Provider Business Mailing Address
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Address Line | 900 E SHILOH RD
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City | CORINTH
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State | MS
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Zip | 38834-2620
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Country | US
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Telephone | 662-287-1171
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Fax | 662-287-2575
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | ANDREW FANCHER MOORE
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Credential | DMD
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Telephone | 662-287-1171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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