Individual
DR. TIMOTHY MOSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
168 E 200 N, LOGAN, UT 84321-4036
(435) 753-9470
Mailing address
150 E 200 N STE H, LOGAN, UT 84321-4036
(435) 753-9470
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8678914
UT
Other
Enumeration date
05/17/2011
Last updated
01/22/2026
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