Individual
MARK ERIC MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
(252) 737-7229
(252) 737-7757
Mailing address
1851 MACGREGOR DOWNS ROAD MAIL STOP 701, ECU SCHOOL OF DENTAL MEDICINE, GREENVILLE, NC 27834-4354
(252) 737-7229
(252) 737-7757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0193
NC
122300000X
Dentist
050807-1
NY
Other
Enumeration date
09/30/2006
Last updated
09/22/2017
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