# DAVID R. MOSSER, DDS, LLC

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

## Provider details

- **NPI number:** 1871847079
- **Authorized official:** DR. DAVID R. MOSSER D.D.S. (DENTIST/MEMBER)
- **Authorized official phone:** (317) 773-3888

## Contact information

- **Practice address:** 140 N 10TH ST, NOBLESVILLE, IN 46060-2202
- **Practice address phone:** (317) 773-3888
- **Practice address fax:** (317) 773-3888
- **Mailing address:** 140 N 10TH ST, NOBLESVILLE, IN 46060-2202
- **Mailing address phone:** (317) 773-3888
- **Mailing address fax:** (317) 773-3888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12011525 | IN | Yes |

## Other

- **Enumeration date:** 11/09/2012
- **Last updated:** 11/09/2012