Kevin Carroll Moss is a Dentist in Lacey, Washington. Kevin Carroll Moss practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kevin Carroll Moss is 1043332844. The last update date is 2007-07-08.
Kevin Carroll Moss's current location address is 5320 Corporate Center Loop Se, Lacey, Washington. You can contact this provider via phone number 3604917080 and fax number 3604917105. The mailing address for Kevin Carroll Moss is 5320 Corporate Center Loop Se, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Carroll Moss |
|---|---|
| Address | 5320 Corporate Center Loop Se, Lacey, Washington |
| Phone Number | 3604917080 |
| Fax Number | 3604917105 |
| Sole Proprietor | N |
| Credentials | DMD MS PLL |
NPI Number Detail
| NPI Number | 1043332844 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5320 Corporate Center Loop Se |
|---|---|
| City | Lacey |
| State | Washington (WA) |
| Post Code | 98503 |
| Phone Number | 3604917080 |
| Fax Number | 3604917105 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 700009204 |
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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 10-digit identifier code issued to Kevin Carroll Moss by the Centers for Medicare & Medicaid Services?
The Kevin Carroll Moss has been assigned the NPI (National Provider Identifier) 1043332844 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kevin Carroll Moss?
The Kevin Carroll Moss is physically situated at 5320 Corporate Center Loop Se, in the city of Lacey, state of WA, with the postal code 98503.
What is the area of specialization for Kevin Carroll Moss, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Carroll Moss is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043332844 to Kevin Carroll Moss?
The Kevin Carroll Moss received its 1043332844 assignment from the Centers for Medicare & Medicaid Services on 2007-04-04.
As of what date was the information pertaining to Kevin Carroll Moss, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin Carroll Moss, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.