Kenneth J Moran, DDS is an oral and maxillofacial surgery dentist in Tuba City, AZ with 37 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in 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. Kenneth J Moran, DDS NPI is 1548200256. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
167 NORTH MAIN STREET
TUBA CITY, AZ
ZIP 86045-600
Phone: (928) 283-2501
Fax: (928) 283-2677
The NPI 1548200256 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 6/8/2006 and was last updated on 5/25/2011.