MIDWEST DENTAL JEFF MOOS DDS PC (NPI# 1518228485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518228485 |
| Entity Type | Organization |
| Organization Name | MIDWEST DENTAL JEFF MOOS DDS PC |
| Other Organization Name | MIDWEST DENTAL |
| Practice Address |
300 Walmart Dr Sullivan MO 63080-3333 |
| Mailing Address |
680 Hehli Way Mondovi WI 54755-1639 |
| Practice Telephone | 5738602552 |
| Practice Fax Number | 5738602553 |
| Mailing Telephone | 7159265050 |
| Mailing Fax Number | 7159264269 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |
| Authorized Official Name | JEFFREY W MOOS (OWNER) |
| Authorized Official Telephone | 7159265050 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Midwest Dental | Doing Business As Name - Organization |
| Street Address |
300 WALMART DR |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558666768 | Sullivan Dental Partnership LLC | Durable Medical Equipment & Medical Supplies | 300 Walmart Dr, Sullivan, MO 63080-3333 | 2011-01-19 |
| 1275700817 | Sullivan Dental Partnership, LLC | Dentist | 300 Walmart Dr, Sullivan, MO 63080-3333 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| 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 |
|---|---|---|---|---|
| 1912436635 | Jessica Mae Ellsperman | Dentist | 2186 N Hospital Blvd # 1, Sullivan, IN 47882-7654 | 2017-06-06 |
| 1619007127 | Scantlan & Rowbottom, D.d.s., P.C. | Dentist | 675 Dunsford Dr, Sullivan, MO 63080-1267 | 2007-03-06 |
| 1891857447 | William Earl Alwerdt | Dentist | 110 N Hamilton St, Sullivan, IL 61951-1405 | 2006-12-13 |
| 1073591277 | Gregg W. Smith | Dentist | 2186 N Hospital Blvd Ste 1, Sullivan, IN 47882-7654 | 2006-01-06 |
| 1275700817 | Sullivan Dental Partnership, LLC | Dentist | 300 Walmart Dr, Sullivan, MO 63080-3333 | 2008-05-13 |
| 1194945246 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 413 Walmart Dr, Sullivan, MO 63080-3327 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322990 | Wildhorse Dental Care, LLC | Dentist | 399 Patriotic Trl, Weldon Spring, MO 63304-7936 | 2020-10-05 |
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1538778592 | Maya Grace Habibi | Dentist | 5212 N Service Rd, Saint Peters, MO 63376-3950 | 2020-07-27 |
| 1427667500 | Breakthrough Dental Partners LLC | Dentist | 401 E Mechanic St, Harrisonville, MO 64701-2427 | 2020-07-24 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1790303774 | Wed Khizirpour | Dentist | 1680 Nw Chipman Rd, Lees Summit, MO 64081-3934 | 2020-07-07 |
| 1275150716 | Hills Dentistry LLC | Dentist | 2000 Kentucky Ave Ste C, Platte City, MO 64079-7714 | 2020-07-01 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MIDWEST DENTAL JEFF MOOS DDS PC.
| 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.