GREGORY MOOS (NPI# 1285085795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285085795 |
| Entity Type | Individual |
| Full Name | GREGORY MOOS |
| Credential | DDS |
| Practice Address |
515 Broadway Ave. North Red Lodge MT 59068 |
| Mailing Address |
Po Box 663 Red Lodge MT 59068-0663 |
| Practice Telephone | 7154955131 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11522 | MT | Dental Providers |
| N | 122300000X | Dentist | 1001314-15 | WI | Dental Providers |
| Street Address |
515 BROADWAY AVE. NORTH |
| City | RED LODGE |
| State | MT |
| Zip Code | 59068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947941 | John Joseph Monroe | Counselor | 515 W 22nd St, Red Lodge, MT 59068 | 2019-05-14 |
| 1760977706 | Carbon County Senior Care, LLC | In Home Supportive Care | 4 Bighorn Ln., Red Lodge, MT 59068 | 2018-06-22 |
| 1174052302 | Kelsey Jo Fraser | Dentist | 515 N Broadway Ave Ste 4, Red Lodge, MT 59068 | 2017-06-10 |
| 1104186832 | The Willows | Assisted Living Facility | 2475 North Broadway, Red Lodge, MT 59068 | 2012-05-29 |
| 1124391776 | Bruce Robert Fishburn | Ophthalmology | 16 Lower Wapiti Valley Road, Red Lodge, MT 59068 | 2012-02-13 |
| 1235409988 | Wayne Allen Hill | Radiology | 397 Highway 78, Red Lodge, MT 59068 | 2012-01-11 |
| 1346372182 | Lynn Kathleen Zavala | Physical Therapist | 600 W 21st St, Red Lodge, MT 59068 | 2007-03-09 |
| 1073677084 | Nancy Mcgrade | Counselor | 1 N Broadway, Red Lodge, MT 59068 | 2006-12-21 |
| 1306908785 | Steven Wallace Fugere | Occupational Therapist | 600 West 21st Str., Red Lodge, MT 59068 | 2006-12-14 |
| 1467512244 | Laurie Barnard | Speech-Language Pathologist | 422 15th Street West, Red Lodge, MT 59068 | 2006-12-11 |
| Find all providers in zip 59068 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174052302 | Kelsey Jo Fraser | Dentist | 515 N Broadway Ave Ste 4, Red Lodge, MT 59068 | 2017-06-10 |
| 1942649504 | Jordan Thomas Dobmeier | Dentist | 606 S Grant Ave, Red Lodge, MT 59068-9271 | 2013-06-17 |
| 1811157183 | Kelly A Reynolds | Dentist | 515 North Broadway, Suite 4, Red Lodge, MT 59068-9255 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162525 | Kagy Family Dental | Dentist | 45 W Kagy Blvd Ste 4, Bozeman, MT 59715-6052 | 2020-10-21 |
| 1821697921 | Jewel Basin Dentistry | Dentist | 33 Doc Kimball, Big Fork, MT 59911 | 2020-10-20 |
| 1912514977 | Kenneth J Bagby Dds P C | Dentist | 1540 Lake Elmo Dr Ste 3, Billings, MT 59105-1798 | 2020-09-24 |
| 1285245852 | Robert Dilan Starkel | Dentist | 402 Montana Ave, Libby, MT 59923-2040 | 2020-08-16 |
| 1003430570 | Allen Dental, Pllc | Dentist | 15 1st St Ne Ste 207151, Choteau, MT 59422-9275 | 2020-06-01 |
| 1346727468 | Shawn Michael Griffith | Dentist | 1 Woodcocks Way, St. Ignatius, MT 59865 | 2018-07-21 |
| 1447745914 | Steve M. Mosby, Dds | Dentist | 310 Wendell Ave Ste 3, Lewistown, MT 59457-2267 | 2018-06-27 |
| 1538604400 | Tmj & Sleep Therapy Centre of Montana, Inc | Dentist | 880 Primrose Rd N, Conrad, MT 59425-9129 | 2016-12-30 |
| 1346691201 | Queen City Dental Studio | Dentist | 1300 N. Montana Ave, Helena, MT 59601 | 2016-06-22 |
| 1164870390 | Arrowhead Dental PC | Dentist | 433 Main Street, Jordan, MT 59337 | 2016-05-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.