Moorse Dental Psc is a Dentist in Olivia, Minnesota. Moorse Dental Psc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Moorse Dental Psc is 1073594891. The last update date is 2009-11-24.
Moorse Dental Psc's current location address is 907 W Lincoln Ave, Olivia, Minnesota. You can contact this provider via phone number 3205231441 and fax number 3205231441. The mailing address for Moorse Dental Psc is 907 W Lincoln Ave, Olivia, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Moorse Dental Psc |
|---|---|
| Address | 907 W Lincoln Ave, Olivia, Minnesota |
| Phone Number | 3205231441 |
| Fax Number | 3205231441 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Moorse Joseph Mark |
| Credentials | DDS |
| Telephone Number | 3205231441 |
NPI Number Detail
| NPI Number | 1073594891 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2009-11-24 |
Provider Mailing Address Detail
| Address | 907 W Lincoln Ave |
|---|---|
| City | Olivia |
| State | Minnesota (MN) |
| Post Code | 562774215 |
| Phone Number | 3205231441 |
| Fax Number | 3205231441 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D11030 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120523400 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Moorse Dental Psc by the Centers for Medicare & Medicaid Services?
The Moorse Dental Psc has been issued the NPI (National Provider Identifier) 1073594891, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Moorse Dental Psc?
The Moorse Dental Psc is situated at 907 W Lincoln Ave, in the city of Olivia, state of MN, with the zip code 562774215.
What is Moorse Dental Psc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Moorse Dental Psc's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073594891 to Moorse Dental Psc?
The Centers for Medicare & Medicaid Services assigned the 1073594891 to Moorse Dental Psc on 2005-11-09.
As of what date were the details related to Moorse Dental Psc most recently updated or revised?
The information pertaining to Moorse Dental Psc, including its address, specialty, and other relevant details, was last updated or revised on 2009-11-24.