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JOHN W MOONEY DDS NPI 1598796278


NPI Information

NPI: 1598796278
Provider Name: JOHN W MOONEY, DDS
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
240 S 40TH ST
SUITE 105
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 898-8991
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John W Mooney, DDS is an oral maxillofacial surgery in Philadelphia, PA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. John W Mooney, DDS NPI is 1598796278. 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:

240 S 40TH ST
SUITE 105
PHILADELPHIA, PA
ZIP 19104-030
Phone: (215) 898-8991

The enumeration date for this NPI number is 7/5/2006 and was last updated on 3/16/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryDS017710LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U50978MEDICARE UPIN
20014537900002MEDICAIDPENNSYLVANIA
3171574MEDICARE PINPENNSYLVANIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.