Auburn Ansley Moak, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

111321 Issued in MS

Practice address

806 Mississippi Dr
Waynesboro, MS 39367-2438

Phone

(601) 735-5086

NPI assigned

Jul 15, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1295627388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 COUNTY ROAD 8",
            "city": "STRINGER",
            "state": "MS",
            "postal_code": "394814330",
            "telephone_number": "601-577-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 MISSISSIPPI DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672438",
            "telephone_number": "601-735-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAK",
        "first_name": "AUBURN",
        "middle_name": "ANSLEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "111321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Beth McGee, NP
• Susan R McGee, M.D.
• Medi Port Transporation LLC
• Mississippi Family Medicine P C
• Mississippi State Department of Health
• Brandon Brian Moak, DMD
• Ms Hud Pine View LLC
• Mandy Yvette Munn, FNP
• Cynthia C. Odom, CNM, FNP
• Olson Chiropractic Clinic PA

• All providers in Waynesboro, MS
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.