Individual
JAMES L. MOSS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24 MILLDAM RD, ACTON, MA 01720-5847
(978) 263-4183
Mailing address
24 MILLDAM RD, ACTON, MA 01720-5847
(978) 263-4183
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11472
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH139
HARVARD PILGRIM
MA
01
—
X04847
BCBS - DENTAL
MA
Enumeration date
03/17/2006
Last updated
01/09/2009
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