DR RONALD A MOSS PA NPI 1710904669

NPI Information

NPI: 1710904669
Provider Name: DR RONALD A MOSS PA
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Organization
Address: 451 RUIN CREEK ROAD
SUITE 105
HENDERSON, NC
ZIP 27536
Phone: (252) 492-3355

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NPI Details

DR RONALD A MOSS PA is an oral and maxillofacial surgery dentist in Henderson, NC. 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. DR RONALD A MOSS PA NPI is 1710904669. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

451 RUIN CREEK ROAD
SUITE 105
HENDERSON, NC
ZIP 27536
Phone: (252) 492-3355
Fax: (252) 492-9938

The provider's authorized official is Ronald A Moss .
The authorized official title is Dds and has the following contact phone number (252) 492-3355.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 8/22/2020.

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
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	3851	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8996265	MEDICAID	NORTH CAROLINA

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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