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General NPI Number Information
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NPI Number | 1225955420
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Entity Type | Organization
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Legal Business Name | JUSTIN M MOSES DMD PLLC
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 2109 N FRONTAGE RD W STE B
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City | VAIL
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State | CO
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Zip | 81657-4891
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Country | US
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Telephone | 970-476-3991
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Fax | 970-476-1625
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Provider Business Mailing Address
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Address Line | 2109 N FRONTAGE RD W STE B
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City | VAIL
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State | CO
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Zip | 81657-4891
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Country | US
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Telephone | 970-476-3991
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Fax | 970-476-1625
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | JUSTIN MICHAEL MOSES
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Credential |
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Telephone | 970-476-3991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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