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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