Jennifer J Moseley in Suamico - Pediatric Dentistry
Jennifer J Moseley - NPI 1790832798
Jennifer J Moseley is a Pediatric Dentistry in Suamico, Wisconsin. Jennifer J Moseley practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jennifer J Moseley is 1790832798. The last update date is 2017-01-17.
Jennifer J Moseley's current location address is 2149 Grey Wolf Ct, Suamico, Wisconsin. You can contact this provider via phone number 9512370770. The mailing address for Jennifer J Moseley is 2149 Grey Wolf Ct, Suamico, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer J Moseley |
|---|---|
| Address | 2149 Grey Wolf Ct, Suamico, Wisconsin |
| Phone Number | 9512370770 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1790832798 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2017-01-17 |
Provider Mailing Address Detail
| Address | 2149 Grey Wolf Ct |
|---|---|
| City | Suamico |
| State | Wisconsin (WI) |
| Post Code | 543133268 |
| Phone Number | 9512370770 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7198-15 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique identification code assigned to Jennifer J Moseley by the Centers for Medicare & Medicaid Services?
The Jennifer J Moseley has been issued the NPI (National Provider Identifier) 1790832798. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jennifer J Moseley located?
The Jennifer J Moseley is located at 2149 Grey Wolf Ct, Suamico, WI 543133268.
What is Jennifer J Moseley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jennifer J Moseley is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790832798 to Jennifer J Moseley?
The Centers for Medicare & Medicaid Services assigned the 1790832798 to Jennifer J Moseley on 2007-01-04.
When was the information related to Jennifer J Moseley most recently updated or refreshed?
The details pertaining to the Jennifer J Moseley, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-01-17.
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