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General NPI Number Information
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NPI Number | 1861312548
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Entity Type | Organization
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Legal Business Name | M&M DENTAL PARTNERSHIP PLLC
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 150 COOLEY MESA RD UNIT D
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City | GYPSUM
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State | CO
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Zip | 81637
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Country | US
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Telephone | 970-431-6616
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Fax | 970-431-6810
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Provider Business Mailing Address
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Address Line | PO BOX 918
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City | GYPSUM
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State | CO
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Zip | 81637-0918
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Country | US
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Telephone | 970-431-6616
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Fax | 970-431-6810
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Authorized Official
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Title or Position | PARTNER/DENTIST
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Name | DR. 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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