# THOMAS F. MOONEY, III, DDS, MDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mooney Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063761773
- **Authorized official:** DR. THOMAS F. MOONEY III DDS, MDS (MEMBER / MANAGER)
- **Authorized official phone:** (636) 970-4700

## Contact information

- **Practice address:** 9018 PHOENIX PKWY, O FALLON, MO 63368-4278
- **Practice address phone:** (636) 970-4700
- **Mailing address:** 9018 PHOENIX PKWY, O FALLON, MO 63368-4278
- **Mailing address phone:** (636) 970-4700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 015486 | MO | Yes |

## Other

- **Enumeration date:** 09/10/2012
- **Last updated:** 09/10/2012