Organization
KEVIN P MOONEY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN P MOONEY DDS (PRESIDENT)
(781) 932-5999
Entity
Organization
Contact information
Practice address
3 BALDWIN GREEN CMN, SUITE 101, WOBURN, MA 01801-1865
(781) 932-5999
(781) 935-4804
Mailing address
3 BALDWIN GREEN CMN, SUITE 101, WOBURN, MA 01801-1865
(781) 932-5999
(781) 935-4804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16749
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709783
UNITED CONCORDIA
MA
01
—
X11819
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/11/2007
Last updated
09/18/2007
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