What is Jackson Moses's NPI number?

The NPI number assigned to this healthcare provider is 1427162932, enumerated as a individual on August 19, 2006.

What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

DR. JACKSON MOSES DDS - NPI 1427162932 - Dentist in Mission Viejo, CA

Q: Where is the provider located?

The provider is located at 27800 MEDICAL CENTER RD SUITE 238 MISSION VIEJO, CA 92691 and the phone number is (949) 364-0220.

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About Dr. Jackson Moses Dds NPPES

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

DR. JACKSON MOSES DDS (NPI 1427162932) is an individual oral and maxillofacial surgery provider in Mission Viejo, California, licensed in California (21174) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1427162932

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JACKSON MOSESCredential: DDS

Location Address27800 MEDICAL CENTER RD, SUITE 238Mission Viejo, CA 92691-6410

Mailing Address27800 Medical Center Rd, Suite 238Mission Viejo, CA 92691-6410 · (949) 364-0220 · Fax (949) 582-0563

Phone(949) 364-0220

Fax(949) 582-0563

Sole ProprietorYes

Enumeration DateAugust 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1427162932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 21174

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.

27800 MEDICAL CENTER RD, Mission Viejo, CA 92691

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