Dr. Mark Andrew Moats, D.M.D.
Dentist, General Practice in Henderson, KY. Individual provider (NPI-1).
NPI number1457571523
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457571523
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Andrew Moats
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6871 | KY | Yes |
Practice location
481 Klutey Park Plaza DrHenderson, KY 42420-3347
Phone 270-826-2677 · Fax 270-826-8112
Mailing address
481 Klutey Park Plaza DrHenderson, KY 42420-3347
Phone 270-826-2677 · Fax 270-826-8112
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