Healthcare Provider Details

I. General information

NPI: 1790886000
Provider Name (Legal Business Name): BARBARA A. MOYER DDS.,M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10184 W BELLEVIEW AVE SUITE 110
LITTLETON CO
80127-1764
US

IV. Provider business mailing address

10184 W BELLEVIEW AVE SUITE 110
LITTLETON CO
80127-1764
US

V. Phone/Fax

Practice location:
  • Phone: 303-973-4424
  • Fax: 303-973-4427
Mailing address:
  • Phone: 303-973-4424
  • Fax: 303-973-4427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number4978
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: