DR. KEITH EDWIN MOOMAW DDS
NPI 1164645859
Dentist in Edgewood, MD

Q: What is Keith Moomaw's NPI number?

The NPI number for Keith Moomaw is 1164645859. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Q: What is Keith Moomaw's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Moomaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 April 11, 2007

1308 BUSINESS CENTER WAY, SUITE 105, EDGEWOOD, MD 21040(410) 679-2790 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Keith Edwin Moomaw Dds NPPES

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

DR. KEITH EDWIN MOOMAW DDS (NPI 1164645859) is an individual dentist in Edgewood, Maryland, licensed in Maryland (MD6960) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1164645859

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KEITH EDWIN MOOMAWCredential: DDS

Location Address1308 BUSINESS CENTER WAY, SUITE 105Edgewood, MD 21040-1504

Mailing Address1308 Business Center Way, Suite 105Edgewood, MD 21040-1504 · (410) 679-2790

Phone(410) 679-2790

Sole ProprietorYes

Enumeration DateApril 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164645859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MD · MD6960

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1308 BUSINESS CENTER WAY, Edgewood, MD 21040

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA SUMMER DAVIS CSC-AD

Counselor (Addiction (Substance Use Disorder))

1308 BUSINESS CENTER WAY
EDGEWOOD, MD 21040

Harford County (443) 461-3311

CHESAPEAKE CONTEMPORARY DENTISTRY, P.A.

Dentist

1308 BUSINESS CENTER WAY, SUITE 105
EDGEWOOD, MD 21040

Harford County (410) 679-2790

KATOANH SHARRELL PHILLIP

Counselor (Addiction (Substance Use Disorder))

1308 BUSINESS CENTER WAY
EDGEWOOD, MD 21040

Harford County (443) 461-3311

DR. PETER HAMILTON ROTH DDS

Dentist (General Practice)

1308 BUSINESS CENTER WAY, SUITE 105
EDGEWOOD, MD 21040

Harford County (410) 679-2790

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 Keith Moomaw's NPI number?

The NPI number for Keith Moomaw is 1164645859. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Keith Moomaw located?

Keith Moomaw practices at 1308 Business Center Way Suite 105, Edgewood, MD 21040. The listed phone number is (410) 679-2790.

What is Keith Moomaw's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Keith Moomaw accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Keith Moomaw 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 Keith Moomaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.