Individual
DR. KEVIN P MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 CEDAR ST STE 31, WOBURN, MA 01801-6365
(781) 281-9111
(781) 281-9123
Mailing address
10 CEDAR ST STE 31, WOBURN, MA 01801-6365
(781) 281-9111
(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 CONCORDIAN
MA
01
—
X11819
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/10/2007
Last updated
11/14/2019
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