MOSES ORAL AND FACIAL SURGERY LLC (NPI# 1609407907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609407907 |
| Entity Type | Organization |
| Organization Name | MOSES ORAL AND FACIAL SURGERY LLC |
| Practice Address |
202 W Park Ave Greenwood MS 38930-3009 |
| Practice Telephone | 6622190044 |
| Mailing Telephone | 6622190044 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | DR. WALTER CARL MOSES III (DOCTOR) |
| Authorized Official Telephone | 6622990270 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07720764 | 05 |
| Other Name | Type Code |
|---|---|
| Moses Oral and Facial Surgery | Doing Business As Name - Organization |
| Street Address |
202 W PARK AVE |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861480014 | Samuel H Lambdin | Specialist | 202 W Park Ave, Greenwood, MS 38930-3009 | 2005-10-12 |
| 1528434214 | Kathryn Flanagan Evans | Nurse Practitioner | 202 W Park Ave, Greenwood, MS 38930-3009 | 2015-08-17 |
| 1770977134 | Walter Carl Moses IIi | Oral & Maxillofacial Surgery | 202 W Park Ave, Greenwood, MS 38930-3009 | 2015-03-24 |
| 1679802946 | Greenwood Leflore Hospital | Internal Medicine | 202 W Park Ave, Greenwood, MS 38930 | 2009-12-16 |
| 1083868699 | S H Lambdin Md Pllc | Specialist | 202 W Park Ave, Greenwood, MS 38930-3009 | 2008-11-10 |
| 1689831844 | Richard Goldberg | Internal Medicine | 202 W Park Ave, Greenwood, MS 38930-3009 | 2008-05-16 |
| 1013905272 | Patricia Weathersby | Specialist | 202 W Park Ave, Greenwood, MS 38930-3009 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821045147 | John W Pruitt | Dentist | 1630 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2006-05-30 |
| 1942287586 | Ann M Holzhauer | Dentist | 112 Liner Dr, Greenwood, SC 29646-2310 | 2005-12-25 |
| 1144373895 | David Daran Trigg | Dentist | 385 Meridian Parke Ln, Suite A, Greenwood, IN 46142-9426 | 2007-01-18 |
| 1669578720 | Western Carolina Oral & Maxillofacial Surgery, Pa | Dentist | 112 Liner Dr, Greenwood, SC 29646-2310 | 2006-09-16 |
| 1992749402 | Tyler J Potter | Dentist | 1630 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2006-06-15 |
| 1063472876 | John C. Sowell | Dentist | 112 Liner Dr, Greenwood, SC 29646-2310 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1063781086 | Harbor View Oral and Facial Surgery LLC | Dentist | 1301 25th Avenue, Suite 3, Gulfport, MS 39501 | 2011-12-20 |
| 1689831125 | Charles Jackson Van Meter IIi | Dentist | 300 Maxey Dr, Brandon, MS 39042-2576 | 2008-05-21 |
| 1457521163 | Dr Richard K Akin | Dentist | 1013 Highway 90, Bay Saint Louis, MS 39520-1524 | 2008-03-10 |
| 1184802084 | Dr. George W. May, Jr., D.m.d | Dentist | 293 E Layfair Dr, Flowood, MS 39232-9527 | 2008-02-04 |
| 1396920252 | Eric Street Lewis | Dentist | 212 Rawls Dr, Mccomb, MS 39648-2870 | 2008-01-09 |
| 1689888745 | Jason Oser Rosetti | Dentist | 1301 25th Ave, Ste 3, Gulfport, MS 39501-1932 | 2007-05-09 |
| 1831303858 | Tony Dee Hooker | Dentist | 399 Southcrest Ct Ste A, Southaven, MS 38671-4790 | 2007-05-09 |
| 1437370988 | Kyle Tanner Hunt | Dentist | 971 Lakeland Dr Ste 952, Jackson, MS 39216-4609 | 2007-05-01 |
| 1871719013 | Scott Freland Thames | Dentist | 325 S 13th Ave, Laurel, MS 39440-4342 | 2007-04-17 |
| 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.