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MOSS DENTISTRY NPI 1962806331


NPI Information

NPI: 1962806331
Provider Name: MOSS DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
203 E MAIN STREET, SUITE 205
RIVERTON, WY
ZIP 82501
Phone: (307) 857-2020
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MOSS DENTISTRY is a general practice dentist in Riverton, WY. 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. MOSS DENTISTRY NPI is 1962806331. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

203 E MAIN STREET, SUITE 205
RIVERTON, WY
ZIP 82501
Phone: (307) 857-2020
Fax: (307) 857-2727

The provider's authorized official is Shelley J Griffin .
The authorized official title is Office Manager and has the following contact phone number (307) 857-2020.

The enumeration date for this NPI number is 10/14/2014 and was last updated on 10/14/2014.


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 Practice1220WYOMINGYes

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
1127527500MEDICAIDWYOMING

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

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