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WALTER C MOSES III, DMD – NPI #1770977134
Oral & Maxillofacial Surgery

NPI Profile for Dr WALTER C MOSES III in GREENWOOD, MS.

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Contact Information

WALTER C MOSES III, DMD
202 W PARK AVE
GREENWOOD, MS  38930-3009
 Phone: 662-219-0044
 Fax: 662-219-0045
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

 204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WALTER C MOSES III · (Male)

NPI Number 1770977134
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 03/24/2015
Last updated 10/15/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 3793-15
  • MS Medicaid 07720764
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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