NABIL MOUSSA DDS NPI 1073965174

NPI Information

  • NPI: 1073965174
  • Provider Name: NABIL MOUSSA, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 3700 INGLESIDE BLVD # 101
    LADSON, SC
    ZIP 29456
  • Phone: (843) 936-5061

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NPI Details

Nabil Moussa, DDS is an oral and maxillofacial surgery dentist in Ladson, SC. 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. Nabil Moussa, DDS NPI is 1073965174. 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:

3700 INGLESIDE BLVD # 101
LADSON, SC
ZIP 29456-141
Phone: (843) 936-5061

The enumeration date for this NPI number is 7/13/2016 and was last updated on 7/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDN123065GEORGIANo
21223S0112XDentistOral and Maxillofacial Surgery10479SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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