Moser, Veldon Ross

Moser, Veldon Ross is an individual health care provider with primary practice located at 1115 Maple Way , Jackson WY 83001. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moser, Veldon Ross can be contacted via phone (307) 733-7044.

Contact Information

Primary practice address
1115 Maple Way Jackson WY 83001
Phone: (307) 733-7044
Fax: (307) 734-1409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2200 Montana

Profile Details

NPI number 1033235379
LBN Legal business name Moser, Veldon Ross
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Dec 14th, 2009 - about 17 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 1033235379 NPPES
Montana Other 5512974 CHIP
Montana MEDICAID 0130152 CHIP

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