Midwest Dental Jeff Moos DDS PC

NPI #1518228485 in Sullivan, Missouri

Provider Information

NPI Number: 1518228485
Entity Type: Organization
Organization Name: Midwest Dental Jeff Moos DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 6, 2012
Last Updated: Jun 6, 2012

Practice Location

Address: 300 WALMART DR
City: Sullivan
State: Missouri
ZIP Code: 63080-3333
Phone: (573) 860-2552

Authorized Official

Name: JEFFREY W MOOS, DDS
Title: OWNER
Phone: (715) 926-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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DR. Raysham Hayat, DDS	Dentist - General Practice	Sullivan	AI Deep Dive
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Organizations

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Missouri Dental Professionals, Richard Straus, Dmd, PC Part of Missouri Dental Professionals, Richard Straus, Dmd, PC	Dentist - General Practice	Sullivan	AI Deep Dive
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