Melissa Moseley Cole, DMD
Individual provider Active NPI Dentist · Florence, MS
NPI 1306967161 · NPPES record last updated Dec 5, 2007
Key facts
- NPI
- 1306967161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 3334-05 (MS)
- Practice address
- 2614 Highway 49 S
Florence, MS 39073-9415 - Phone
- (601) 845-6357
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3334-05 | MS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Family Dentistry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3334-05 | MS | Yes |
Addresses
Primary practice location
2614 Highway 49 S
Florence, MS 39073-9415
Mailing address
PO Box 185
Florence, MS 39073-0185
Phone (601) 845-6357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09773780 | Medicaid | MS |
Other providers in Florence, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.