MOSES PARK
NPI 1306539655
Dentist - General Practice in Severna Park, MD

Q: What is Moses Park's NPI number?

The NPI number for Moses Park is 1306539655. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Q: What is Moses Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Moses Park was last updated on June 1, 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 June 01, 2023

780 GOVERNOR RITCHIE HWY STE 30, SEVERNA PARK, MD 21146(410) 384-9030 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Moses Park NPPES

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

MOSES PARK (NPI 1306539655) is an individual general practice provider in Severna Park, Maryland, licensed in Maryland (18005) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1306539655

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMOSES PARK

Location Address780 GOVERNOR RITCHIE HWY STE 30Severna Park, MD 21146-4135

Mailing Address13100 Dairymaid DrGermantown, MD 20874-2311 · (423) 715-8593

Phone(410) 384-9030

Sole ProprietorYes

Enumeration DateJune 1, 2023

NPPES CertifiedJune 1, 2023

✔ NPI 1306539655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MD · 18005

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

780 GOVERNOR RITCHIE HWY STE 30, Severna Park, MD 21146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. MOIZZA RAJAN DDS

Dentist (General Practice)

780 GOVERNOR RITCHIE HWY STE 30
SEVERNA PARK, MD 21146

Anne Arundel County (410) 384-9030

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 Moses Park's NPI number?

The NPI number for Moses Park is 1306539655. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Moses Park located?

Moses Park practices at 780 Governor Ritchie Hwy Ste 30, Severna Park, MD 21146. The listed phone number is (410) 384-9030.

What is Moses Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Moses Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Moses Park 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 Moses Park was last updated on June 1, 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.