DR. MATTHEW T MOBERG (NPI# 1851532980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851532980 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW T MOBERG |
| Credential | DDS |
| Practice Address |
300 Twining St Bldg 760 Montgomery AL 36112-6027 |
| Practice Telephone | 3349537822 |
| Mailing Telephone | 3349537822 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901020027 | MI | Dental Providers |
| Street Address |
300 TWINING ST BLDG 760 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36112-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874882 | Thomas M Goodman | Family Medicine | 300 Twining St Bldg 760, Montgomery, AL 36112-6027 | 2005-07-12 |
| 1386291136 | Joshua Cleaver | Pharmacist | 300 Twining St Bldg 760, Montgomery, AL 36112-6027 | 2019-08-26 |
| 1790288900 | Amber West | Pharmacist | 300 Twining St Bldg 760, Montgomery, AL 36112-6027 | 2018-03-14 |
| 1902321458 | Preston Durham Shurley | Dentist | 300 Twining St Bldg 760, Montgomery, AL 36112 | 2017-08-06 |
| 1053853002 | Andrea Pierce | Dentist | 300 Twining St Bldg 760, Montgomery, AL 36112 | 2016-11-08 |
| 1568840445 | Aphton Brooke Lane | Pediatrics | 300 Twining St Bldg 760, Montgomery, AL 36112 | 2015-05-12 |
| 1386056992 | Eric L Wilder | Family Medicine | 300 Twining St Bldg 760, Montgomery, AL 36112-6027 | 2014-05-30 |
| 1023359940 | Amanda Simmons Duty | Optometrist | 300 Twining St Bldg 760, Montgomery, AL 36112-6027 | 2013-03-04 |
| 1386948487 | Roshanda Hogue Gaddis | Dietitian, Registered | 300 Twining St Bldg 760, Montgomery, AL 36112-6027 | 2011-01-04 |
| 1306152715 | Cheryl A Stulzaft | Social Worker | 300 Twining St Bldg 760, Montgomery, AL 36112-6027 | 2010-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| Find all providers in zip 36112 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477107217 | Julian Brandt Smith | Dentist | 2642 Bell Road, Montgomery, AL 36117-7559 | 2019-07-30 |
| 1669931721 | Shirley Jennifer Daniel | Dentist | 6941 Eastchase Loop, Montgomery, AL 36117-6876 | 2019-03-18 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
| 1891201430 | Cranfill Dental of Al LLC | Dentist | 150 S Perry St, Montgomery, AL 36104-4227 | 2017-12-19 |
| 1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
| 1114392107 | Tooth Buds At Lagoon Park, LLC | Dentist | 553 N Eastern Blvd, Montgomery, AL 36117-2213 | 2015-12-02 |
| 1275872426 | Johnny M. Griffin Dds PC | Dentist | 1401 I85 Pkwy Ste D, Montgomery, AL 36106-2833 | 2013-02-07 |
| 1639444342 | Homer William Smith | Dentist | 619 Second Avenue, Montgomery, WV 25136-2435 | 2012-03-13 |
| 1629242441 | Ricky Warner Logan | Dentist | 4711 Atlanta Hwy, Montgomery, AL 36109-3240 | 2008-04-14 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36112 |
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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.