Mooney, Kevin P

Mooney, Kevin P is an individual health care provider with primary practice located at 10 Cedar St Ste 31 , Woburn MA 01801-6365. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mooney, Kevin P can be contacted via phone (781) 281-9111.

Contact Information

Primary practice address
10 Cedar St Ste 31 Woburn MA 01801-6365
Phone: (781) 281-9111
Fax: (781) 281-9123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16749 Massachusetts

Profile Details

NPI number 1750431177
LBN Legal business name Mooney, Kevin P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Nov 14th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750431177 NPPES
Massachusetts Other X11819 BLUE CROSS BLUE SHIELD
Massachusetts Other 709783 BLUE CROSS BLUE SHIELD

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