Dr. Kevin Thomas Moss, d.m.d.
Dentist, General Practice in Downers Grove, IL. Individual provider (NPI-1).
NPI number1437350238
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1437350238
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Thomas Moss
- Credential
- d.m.d.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019026156 | IL | Yes |
Practice location
6800 Main St315
Downers Grove, IL 60516-3493
Phone 630-969-5350
Mailing address
6800 Main St315
Downers Grove, IL 60516-3493
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