# ANDREW W. MOSELEY D.D.S.P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639296437
- **Authorized official:** DR. ANDREW W. MOSELEY D.D.S. (PRESIDENT)
- **Authorized official phone:** (931) 552-1302

## Contact information

- **Practice address:** 2063 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-6621
- **Practice address phone:** (931) 552-1302
- **Practice address fax:** (931) 552-4755
- **Mailing address:** PO BOX 30039, CLARKSVILLE, TN 37040-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 3259 | TN | Yes |

## Other

- **Enumeration date:** 03/25/2007
- **Last updated:** 08/22/2020