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NPI Code Detail

MEDICARE: DR. BRADY HALL MOSHER DMD, MD

MEDICARE:  DR. BRADY HALL MOSHER  DMD, MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist14211NC
2122300000XDentistD012687AZ

General Provider Information

NPI Number : 1902299233
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADY HALL MOSHER DMD, MD
Provider Business Mailing Address
First Line : 3600 N DUKE ST STE 28
Second Line :
City : DURHAM
State : NC
Zip : 27704-1769
Country : US
Telephone Number : 984-288-0872
Fax Number :
Provider Business Practice Location Address
First Line : 3600 N DUKE ST STE 28
Second Line :
City : DURHAM
State : NC
Zip : 27704-1769
Country : US
Telephone Number : 984-288-0872
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2015
Last Update Date : 01/06/2026

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Directions to “ DR. BRADY HALL MOSHER DMD, MD” Practice Location

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