Individual
DR. KRISTINE M MOSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1701 N SENATE BLVD, ROOM 1204A, INDIANAPOLIS, IN 46202-1239
(317) 962-6793
(317) 962-8281
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12010577
IN
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
12010577
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358075
ANTHEM BCBS
IN
05
—
200490890
—
IN
01
—
P00267322
RAILROAD MEDICARE
IN
01
—
P00816224
RAILROAD MEDICARE
IN
Enumeration date
06/06/2006
Last updated
12/18/2020
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