Dennis R. Mooney Dds, Llc | |
215 Ochlockonee St Crawfordville FL 32327-8022 | |
(850) 926-7151 | |
(850) 926-6116 |
Full Name | Dennis R. Mooney Dds, Llc |
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Speciality | Dentist - General Practice |
Location | 215 Ochlockonee St, Crawfordville, Florida |
Authorized Official Name and Position | Leigh E Annand (OFFICE MANAGER) |
Authorized Official Contact | 8509267151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dennis R. Mooney Dds, Llc 215 Ochlockonee St Crawfordville FL 32327-8022 Ph: (850) 926-7151 | Dennis R. Mooney Dds, Llc 215 Ochlockonee St Crawfordville FL 32327-8022 Ph: (850) 926-7151 |
NPI Number | 1710907191 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 09/10/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710907191 | NPI | - | NPPES |
074033100 | Medicaid | FL | |
42086 | Other | PRO. # - ADI, INC. | |
580933 | Other | PRO. # - COMPBENEFITS COR | |
141 | Other | FL | PRO. # - MCNA |
65978 | Other | PRO. # - METLIFE | |
85439 | Other | FL | PRO. # - BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN0006229 (Florida) | Primary |