David K Moose
Oral and Maxillofacial Pathology
1715 Frederick St
Cumberland
, Maryland 21502-1037
David K Moose
Oral and Maxillofacial Pathology
1715 Frederick St
Cumberland
, Maryland 21502-1037
(240) 527-3004
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- David K Moose
- 228 Baltimore Ave
- Cumberland, MD
- Zip : 21502-2402
- Phone : (240) 527-3004
Second Address
- David K Moose
- 1715 Frederick St
- Cumberland, MD
- Zip : 21502-1037
- Phone : (301) 722-3205
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 13679 | MD |
National Provider Identifier
| NPI | 1265594535 |
|---|---|
| Provider Name | David K Moose |
| First Address | Cumberland, MD 21502-2402 |
| Second Address | Cumberland, MD 21502-1037 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.