Thomas James Moss in Evergreen Park - Dentist
Thomas James Moss - NPI 1699836387
Thomas James Moss is a Dentist in Evergreen Park, Illinois. Thomas James Moss practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas James Moss is 1699836387. The last update date is 2007-07-08.
Thomas James Moss's current location address is 10020 S Kedzie Ave, Evergreen Park, Illinois. You can contact this provider via phone number 7082290195 and fax number 7082291934. The mailing address for Thomas James Moss is 10020 S Kedzie Ave, Evergreen Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas James Moss |
|---|---|
| Address | 10020 S Kedzie Ave, Evergreen Park, Illinois |
| Phone Number | 7082290195 |
| Fax Number | 7082291934 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1699836387 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10020 S Kedzie Ave |
|---|---|
| City | Evergreen Park |
| State | Illinois (IL) |
| Post Code | 60805 |
| Phone Number | 7082290195 |
| Fax Number | 7082291934 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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 |
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What is the unique identifier code issued to Thomas James Moss by the Centers for Medicare & Medicaid Services?
The Thomas James Moss has been assigned the NPI (National Provider Identifier) 1699836387. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Thomas James Moss?
The Thomas James Moss is situated at 10020 S Kedzie Ave, in the city of Evergreen Park, state of IL, with the zip code 60805.
What is Thomas James Moss's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas James Moss's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699836387 to Thomas James Moss?
The Thomas James Moss received its 1699836387 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the Thomas James Moss's information last updated?
The Thomas James Moss's information was last updated on 2007-07-08.