Individual
DR. WHITTAKER MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1567 N EASTMAN RD, KINGSPORT, TN 37664-2683
(423) 246-9231
(865) 983-9925
Mailing address
1567 N EASTMAN RD STE 16, KINGSPORT, TN 37664-2680
(423) 246-9231
(423) 246-9232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9268
TN
1223G0001X
General Practice Dentistry
Primary
9268
TN
Other
Enumeration date
04/28/2011
Last updated
10/16/2023
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