# DR RONALD A MOSS PA

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

## Provider details

- **NPI number:** 1710904669
- **Authorized official:** DR. RONALD A MOSS (DDS)
- **Authorized official phone:** (252) 492-3355

## Contact information

- **Practice address:** 451 RUIN CREEK ROAD, SUITE 105, HENDERSON, NC 27536
- **Practice address phone:** (252) 492-3355
- **Practice address fax:** (252) 492-9938
- **Mailing address:** 451 RUIN CREEK ROAD, SUITE 105, HENDERSON, NC 27536
- **Mailing address phone:** (252) 492-3355
- **Mailing address fax:** (252) 492-9938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3851 | NC | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 08/22/2020