Keith Edwin Moomaw is a Dentist in Edgewood, Maryland. Keith Edwin Moomaw practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keith Edwin Moomaw is 1164645859. The last update date is 2007-07-08.
Keith Edwin Moomaw's current location address is 1308 Business Center Way, Edgewood, Maryland. You can contact this provider via phone number 4106792790. The mailing address for Keith Edwin Moomaw is 1308 Business Center Way, Edgewood, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Edwin Moomaw |
|---|---|
| Address | 1308 Business Center Way, Edgewood, Maryland |
| Phone Number | 4106792790 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164645859 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1308 Business Center Way |
|---|---|
| City | Edgewood |
| State | Maryland (MD) |
| Post Code | 210401504 |
| Phone Number | 4106792790 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | MD6960 |
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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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Post Comment/ Review Below
What is the Keith Edwin Moomaw's 1164645859?
The Keith Edwin Moomaw's NPI (National Provider Identifier) Number is 1164645859. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Keith Edwin Moomaw is located?
The Keith Edwin Moomaw is situated at the following address: 1308 Business Center Way, Edgewood, MD, 210401504.
What is Keith Edwin Moomaw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keith Edwin Moomaw is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did Keith Edwin Moomaw receive its 1164645859 assignment from the Centers for Medicare & Medicaid Services?
The Keith Edwin Moomaw was assigned its 1164645859 on 2007-04-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Keith Edwin Moomaw most recently updated or refreshed?
The details pertaining to the Keith Edwin Moomaw, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.