NABIL MOUSSA DDS
NPI 1073965174
Dentist - Oral and Maxillofacial Surgery in Ladson, SC

Q: What is Nabil Moussa's NPI number?

The NPI number for Nabil Moussa is 1073965174. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Q: What is Nabil Moussa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Nabil Moussa enrolled in Medicare?

No. Nabil Moussa has opted out of Medicare through June 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nabil Moussa was last updated on July 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2016Opted out of Medicare · through Jun 9, 2027

3700 INGLESIDE BLVD # 101, LADSON, SC 29456(843) 936-5061 Get Directions Write a Review

NPPES record last updated: July 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2019, Sep 15, 2019, Aug 8, 2019 and 2 more (5 updates tracked since 2016).

On this page

About Nabil Moussa Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NABIL MOUSSA DDS (NPI 1073965174) is an individual oral and maxillofacial surgery provider in Ladson, South Carolina, licensed in South Carolina (10479) and active in the NPI registry since July 2016. He has opted out of Medicare through June 9, 2027.

NPPES Registry Identity

NPI1073965174

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameNABIL MOUSSACredential: DDS

Location Address3700 INGLESIDE BLVD # 101Ladson, SC 29456-4141

Mailing Address3700 Ingleside Blvd #101Ladson, SC 29456 · (843) 936-5061

Phone(843) 936-5061

Sole ProprietorNo

Enumeration DateJuly 13, 2016

Last NPPES UpdateJuly 2, 20235 updates tracked since enumeration

NPPES CertifiedJuly 2, 2023

✔ NPI 1073965174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in SC · 10479✔ Licensed in GA · DN123065

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3700 INGLESIDE BLVD # 101, Ladson, SC 29456

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nabil Moussa Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2023 through June 9, 2027.

Opt-Out Effective DateJune 9, 2023

Opt-Out In Effect ThroughJune 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nabil Moussa's NPI number?

The NPI number for Nabil Moussa is 1073965174. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Where is Nabil Moussa located?

Nabil Moussa practices at 3700 Ingleside Blvd # 101, Ladson, SC 29456. The listed phone number is (843) 936-5061.

What is Nabil Moussa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Nabil Moussa enrolled in Medicare?

No. Nabil Moussa has opted out of Medicare through June 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Nabil Moussa accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 11 other insurers list Nabil Moussa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nabil Moussa was last updated on July 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.