Dr Zachary Albert Moss, DDS | |
218 Stern Rd, Seaman, OH 45679-9607 | |
(937) 386-1379 | |
Not Available |
Full Name | Dr Zachary Albert Moss |
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Gender | Male |
Speciality | Dentist |
Location | 218 Stern Rd, Seaman, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326477910 | NPI | - | NPPES |
0094146 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 30-024044 (Ohio) | Primary |
Entity Name | Healthsource Of Ohio, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275966863 PECOS PAC ID: 2264328749 Enrollment ID: O20140521002611 |
Mailing Address | Practice Location Address |
---|---|
Dr Zachary Albert Moss, DDS 424 Wards Corner Rd Ste 200, Loveland, OH 45140-6966 Ph: (513) 707-4041 | Dr Zachary Albert Moss, DDS 218 Stern Rd, Seaman, OH 45679-9607 Ph: (937) 386-1379 |
Bradley M. Frey, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 218 Stern Rd, Seaman, OH 45679 Phone: 937-386-1379 Fax: 937-386-0129 | |
Edward J Babey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 218 Stern Rd, Seaman, OH 45679 Phone: 937-386-1379 Fax: 937-386-0129 | |
Gregory R Verderber, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 218 Stern Rd, Seaman, OH 45679 Phone: 937-386-1379 Fax: 937-386-0129 | |
Allison S.b Shartzer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 218 Stern Drive, Seaman, OH 45679 Phone: 937-386-1379 Fax: 937-386-0129 |