npidexNPI registry + Medicare data

ALECIA MOORE, DMD

General Practice Dentistry · ELLISVILLE, MS

Individual Active Opted out of Medicare NPI 1114289394

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
General Practice Dentistry1223G0001X✓3638-12MS

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Dentist), effective 2016-05-31 through 2028-05-31.

Other General Practice Dentistry providers in Mississippi

See all General Practice Dentistry providers in Mississippi →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.