Organization
DR RONALD A MOSS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A MOSS (DDS)
(252) 492-3355
Entity
Organization
Contact information
Practice address
451 RUIN CREEK ROAD, SUITE 105, HENDERSON, NC 27536
(252) 492-3355
(252) 492-9938
Mailing address
451 RUIN CREEK ROAD, SUITE 105, HENDERSON, NC 27536
(252) 492-3355
(252) 492-9938
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3851
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996265
—
NC
Enumeration date
07/16/2006
Last updated
08/22/2020
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