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DRS MOORHEAD& ROSS DDS NPI 1659433738


NPI Information

NPI: 1659433738
Provider Name: DRS MOORHEAD& ROSS DDS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
215 FRONT ST
WRANGELL, AK
ZIP 99929
Phone: (907) 874-3731
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DRS MOORHEAD& ROSS DDS is a general practice dentist in Wrangell, AK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DRS MOORHEAD& ROSS DDS NPI is 1659433738. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

215 FRONT ST
WRANGELL, AK
ZIP 99929
Phone: (907) 874-3731
Fax: (907) 874-3531

The provider's authorized official is Walter L Moorhead .
The authorized official title is Partner and has the following contact phone number (907) 874-3731.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 4/20/2008.


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
11223G0001XDentistGeneral Practice570ALASKANo
21223G0001XDentistGeneral Practice550ALASKAYes

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
1DD0550 DD0570MEDICAIDALABAMA
2=========OTHERALABAMABLUE CROSS
3=========OTHERAETNA & MISC.
4=========OTHERWASHINGTONBLUE CROSS

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: 4/28/2024

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