Organization
RICHARD J. MOSES, III, DMD, PC
Active
Organization
RICHARD J. MOSES, III, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAMES MOSES III DMD (PRESIDENT)
(717) 500-1569
Entity
Organization
Contact information
Practice address
1421 E CHOCOLATE AVE, HERSHEY, PA 17033-1165
(717) 500-1569
Mailing address
868 FRONT ST, HERSHEY, PA 17033-9775
(717) 510-8968
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
04/27/2022
Last updated
04/27/2022
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