Individual
DR. DENNIS R MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
215 OCHLOCKONEE ST, CRAWFORDVILLE, FL 32327-8022
(850) 926-7151
(850) 926-6116
Mailing address
215 OCHLOCKONEE ST, CRAWFORDVILLE, FL 32327-8022
(850) 926-7151
(850) 926-6116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0006229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074033100
—
FL
Enumeration date
09/27/2012
Last updated
08/26/2020
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