Kenneth J Moran in Tuba City - Oral And Maxillofacial Surgery
Kenneth J Moran - NPI 1548200256
Kenneth J Moran is a Oral And Maxillofacial Surgery in Tuba City, Arizona. Kenneth J Moran practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kenneth J Moran is 1548200256. The last update date is 2011-05-25.
Kenneth J Moran's current location address is Po Box 600, Tuba City, Arizona. You can contact this provider via phone number 9282832501 and fax number 9282832677. The mailing address for Kenneth J Moran is Po Box 600, Tuba City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth J Moran |
|---|---|
| Address | Po Box 600, Tuba City, Arizona |
| Phone Number | 9282832501 |
| Fax Number | 9282832677 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548200256 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2011-05-25 |
Provider Mailing Address Detail
| Address | Po Box 600 |
|---|---|
| City | Tuba City |
| State | Arizona (AZ) |
| Post Code | 860450600 |
| Phone Number | 9282832501 |
| Fax Number | 9282832677 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 5577 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 422329 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth J Moran by the Centers for Medicare & Medicaid Services?
The Kenneth J Moran has been issued the NPI (National Provider Identifier) 1548200256, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kenneth J Moran is physically located?
The Kenneth J Moran is physically situated at the following address: Po Box 600, Tuba City, AZ, 860450600.
What is the Kenneth J Moran's area of specialization and corresponding taxonomy classification?
The Kenneth J Moran's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
When did the Kenneth J Moran receive its 1548200256?
The Kenneth J Moran was issued its 1548200256 on 2006-06-08, which is the date when the organization was assigned this unique identifier.
As of what date were the Kenneth J Moran's details last updated?
The information pertaining to the Kenneth J Moran, including its address, specialty, and other details, was most recently updated on 2011-05-25.