Organization
MOSS DENTISTRY, LLC
Active
Other names
Emert-Moss Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WHITTAKER B MOSS DDS (PRESIDENT)
(865) 983-4642
Entity
Organization
Contact information
Practice address
1916 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5284
(865) 983-4642
(865) 983-9925
Mailing address
1916 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5284
(865) 983-4642
(865) 983-9925
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9268
TN
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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