Kevin Carroll Moss
Dentist Orthodontists
5320 Corporate Center Loop Se Suite A
Lacey
, Washington 98503
Kevin Carroll Moss
Dentist Orthodontists
5320 Corporate Center Loop Se Suite A
Lacey
, Washington 98503
(360) 491-7105
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About
Features
Specialties
- Dentist
- Orthodontists
Languages spoken
- English
Location
First Address
- Kevin Carroll Moss
- 5320 Corporate Center Loop Se Suite A
- Lacey, WA
- Zip : 98503
- Fax : (360) 491-7105
- Phone : (360) 491-7080
Second Address
- Kevin Carroll Moss
- 5320 Corporate Center Loop Se Suite A
- Lacey, WA
- Zip : 98503
- Fax : (360) 491-7105
- Phone : (360) 491-7080
Reviews
FAQs
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In what state does Kevin Carroll Moss practice in?
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What is Kevin Carroll Moss ’s gender?
Is Kevin Carroll Moss a sole practitioner?
Is Kevin Carroll Moss accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 0700009204 | WA |
| N | 1223X0400X | Orthodontists | 0700009204 | WA |
National Provider Identifier
| NPI | 1043332844 |
|---|---|
| Provider Name | Kevin Carroll Moss |
| First Address | Lacey, WA 98503 |
| Second Address | Lacey, WA 98503 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2007 |
| 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.