# JOHN D. MOSE III D.D.S. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mose Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013150242
- **Authorized official:** DR. JOHN DEE MOSE D.D.S. (PRESIDENT)
- **Authorized official phone:** (918) 294-9750

## Contact information

- **Practice address:** 8316 E 61ST ST, SUITE 109, TULSA, OK 74133-1910
- **Practice address phone:** (918) 294-9750
- **Practice address fax:** (918) 249-1265
- **Mailing address:** 8316 E 61ST ST, SUITE 109, TULSA, OK 74133-1910
- **Mailing address phone:** (918) 294-9750
- **Mailing address fax:** (918) 249-1265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5674 | OK | Yes |

## Other

- **Enumeration date:** 04/17/2009
- **Last updated:** 04/17/2009