| Tina P. Moses, Dmd, Pc | |
|
1240 Augusta West Pkwy Augusta GA 30909-1854 | |
| (706) 863-6262 | |
| (706) 863-6465 |
| Full Name | Tina P. Moses, Dmd, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1240 Augusta West Pkwy, Augusta, Georgia |
| Authorized Official Name and Position | Tina Perry Moses (PRESIDENT) |
| Authorized Official Contact | 7068636262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina P. Moses, Dmd, Pc 1240 Augusta West Pkwy Augusta GA 30909-1854 Ph: (706) 863-6262 | Tina P. Moses, Dmd, Pc 1240 Augusta West Pkwy Augusta GA 30909-1854 Ph: (706) 863-6262 |
| NPI Number | 1336349166 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336349166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN012036 (Georgia) | Primary |
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