Organization
RICHARD J. MOSES, III, DMD, PC
Active
Parent organization
RICHARD J. MOSES, III, DMD, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHARD J. MOSES, III, DMD, PC
Authorized official
DR. RICHARD JAMES MOSES III DMD (OWNER/PRESIDENT)
(717) 566-3776
Entity
Organization
Contact information
Practice address
397 KUNKEL AVE, HUMMELSTOWN, PA 17036-9337
(717) 566-3776
Mailing address
397 KUNKEL AVE, HUMMELSTOWN, PA 17036-9337
(717) 566-3776
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275610792
—
PA
Enumeration date
05/20/2022
Last updated
11/14/2023
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