Mirrial Jane Moses in Augusta - Dentist

Mirrial Jane Moses - NPI 1194807545

Mirrial Jane Moses is a Dentist in Augusta, Georgia. Mirrial Jane Moses practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mirrial Jane Moses is 1194807545. The last update date is 2007-07-08.

Mirrial Jane Moses's current location address is 1039 11th St, Augusta, Georgia. You can contact this provider via phone number 7067224008 and fax number 7067228833. The mailing address for Mirrial Jane Moses is 1039 11th St, Augusta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mirrial Jane Moses
Address 1039 11th St, Augusta, Georgia
Phone Number 7067224008
Fax Number 7067228833
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1194807545
Provider Enumeration Date 2006-10-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1039 11th St
City Augusta
State Georgia (GA)
Post Code 309012873
Phone Number 7067224008
Fax Number 7067228833

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DN010270
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00315246A GA --

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FAQs about Mirrial Jane Moses

What is the unique 10-digit identification code issued to Mirrial Jane Moses by the Centers for Medicare & Medicaid Services?

The Mirrial Jane Moses has been assigned the NPI (National Provider Identifier) 1194807545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Mirrial Jane Moses is physically located?

The Mirrial Jane Moses is physically situated at the following address: 1039 11Th St, Augusta, GA, 309012873.

What is the Mirrial Jane Moses's specialty and taxonomy code?

The Mirrial Jane Moses's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Mirrial Jane Moses receive its 1194807545 assignment from the Centers for Medicare & Medicaid Services?

The Mirrial Jane Moses was assigned its 1194807545 by the Centers for Medicare & Medicaid Services on 2006-10-19.

When was the information regarding Mirrial Jane Moses, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mirrial Jane Moses, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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