| Andrew W. Moseley D.d.s.p.c. | |
|
2063 Wilma Rudolph Blvd Clarksville TN 37040-6621 | |
| (931) 552-1302 | |
| (931) 552-4755 |
| Full Name | Andrew W. Moseley D.d.s.p.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2063 Wilma Rudolph Blvd, Clarksville, Tennessee |
| Authorized Official Name and Position | Andrew W. Moseley (PRESIDENT) |
| Authorized Official Contact | 9315521302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew W. Moseley D.d.s.p.c. Po Box 30039 Clarksville TN 37040-0001 Ph: () - | Andrew W. Moseley D.d.s.p.c. 2063 Wilma Rudolph Blvd Clarksville TN 37040-6621 Ph: (931) 552-1302 |
| NPI Number | 1639296437 |
|---|---|
| Provider Enumeration Date | 03/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639296437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3259 (Tennessee) | Primary |
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