DR. JOHN D. MOSE (NPI# 1154659308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154659308 |
| Entity Type | Individual |
| Full Name | DR. JOHN D. MOSE |
| Credential | D.D.S., M.S. |
| Practice Address |
2909 Azalea Park Dr Muskogee OK 74401-2283 |
| Practice Telephone | 9186873111 |
| Practice Fax Number | 9186821004 |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
2212 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982647624 | John Dee Mose IIi | Dentist | 5602 South Memorial Drive, Tulsa, OK 74145 | 2006-06-13 |
| Street Address |
2909 AZALEA PARK DR |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-2283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526106 | Muskogee Dental Group, Inc. | Dentist | 2909 Azalea Park Dr, Muskogee, OK 74401-2283 | 2012-04-09 |
| 1629621610 | Alexaundrea Smith | Dentist | 2909 Azalea Park Dr, Muskogee, OK 74401-2283 | 2019-07-19 |
| 1053832907 | David Stephen Clark | Dentist | 2909 Azalea Park Dr, Muskogee, OK 74401-2283 | 2017-06-30 |
| 1780127969 | Spring Dental Muskogee, Pllc | Dentist | 2909 Azalea Park Dr, Muskogee, OK 74401-2283 | 2016-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218143 | Niranjan Joshi | Dentist | 1201 N Stonewall Ave Ste 494, Oklahoma City, OK 73117-1214 | 2019-07-31 |
| 1811103229 | Bryce C. Dorrough | Dentist | 8301 S Walker Ave, Oklahoma City, OK 73139-9419 | 2007-05-15 |
| 1669693347 | Daniel Edward Bates | Dentist | 652 Hamilton Rd., Usa Dental Activity, Fort Sill, OK 73503 | 2007-05-01 |
| 1275750184 | Roman Michael Lobodiak | Dentist | 3232 E 31st St, Tulsa, OK 74105-2442 | 2007-04-20 |
| 1750406237 | James Robert Reneau | Dentist | 2751 Nw Expressway St, Suite 5, Oklahoma City, OK 73112-7084 | 2007-03-21 |
| 1366500142 | Mark William Balenseifen | Dentist | 7509 Nw 23rd St, Bethany, OK 73008-4941 | 2006-12-05 |
| 1932199486 | Ernest L Dabreo | Dentist | 72d Medical Group, 1094 Air Depot Blvd, Tinker Afb, OK 73130 | 2005-10-26 |
| 1568862357 | Yacoub Al Sakka | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2014-08-28 |
| 1124441530 | Eswar Keran C Damodara | Dentist | 1201 N Stonewall Ave, Rm# 535a, Oklahoma City, OK 73117-1214 | 2014-01-22 |
| 1821228214 | Implant & Prosthodontic Associates, Pllc | Dentist | 4517 Memorial Cir, Oklahoma City, OK 73142-5006 | 2009-07-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JOHN D. MOSE.
| 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.