Healthcare Provider Details

I. General information

NPI: 1548269269
Provider Name (Legal Business Name): JAMES B. MOSES DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 E EVANS AVE BLD 3 SUITE 200
DENVER CO
80222-5406
US

IV. Provider business mailing address

6000 E EVANS AVE STE 3-200
DENVER CO
80222-5432
US

V. Phone/Fax

Practice location:
  • Phone: 303-756-6411
  • Fax: 303-756-7795
Mailing address:
  • Phone: 303-756-6411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number3197
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: