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MOSES ORAL AND FACIAL SURGERY LLC
NPI 1609407907
Dentist - Oral and Maxillofacial Surgery in Greenwood, MS

Active since January 27, 2020
202 W PARK AVE, GREENWOOD, MS 38930(662) 219-0044 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moses Oral And Facial Surgery Llc NPPES

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

MOSES ORAL AND FACIAL SURGERY LLC (NPI 1609407907), doing business as Moses Oral And Facial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Greenwood, Mississippi and active in the NPI registry since January 2020. The organization lists Walter Carl Moses, Doctor, as its authorized official.

NPPES Registry Identity

NPI1609407907
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMOSES ORAL AND FACIAL SURGERY LLC
Location Address202 W PARK AVEGreenwood, MS 38930-3009
Mailing Address202 W Park AveGreenwood, MS 38930-3009 · (662) 219-0044
Phone(662) 219-0044
Organization SubpartNo
Authorized OfficialWalter Carl MosesDoctor · (662) 299-0270
Enumeration DateJanuary 27, 2020
✔ NPI 1609407907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
202 W PARK AVE, Greenwood, MS 38930
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Other Names 1

Doing Business AsMoses Oral And Facial Surgery

Other Identifiers 1

Medicaid07720764MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

PATRICIA WEATHERSBY MD
Specialist
202 W PARK AVE
GREENWOOD, MS 38930
Leflore County (662) 453-0646
S H LAMBDIN MD PLLC
Specialist
202 W PARK AVE
GREENWOOD, MS 38930
Leflore County (662) 453-0646
NORTH SUNFLOWER MEDICAL CENTER
Clinic/Center (Health Service)
202 W PARK AVE
GREENWOOD, MS 38930
Leflore County (662) 219-2742
MRS. KATHRYN FLANAGAN EVANS FNP-C
Nurse Practitioner (Family)
202 W PARK AVE
GREENWOOD, MS 38930
Leflore County (662) 455-8058
GREENWOOD LEFLORE HOSPITAL
Internal Medicine (Gastroenterology)
202 W PARK AVE
GREENWOOD, MS 38930
Leflore County (662) 455-8058
DR. RICHARD GOLDBERG D.O.
Internal Medicine (Gastroenterology)
202 W PARK AVE
GREENWOOD, MS 38930
Leflore County (662) 455-8058
DR. WALTER CARL MOSES III DMD
Oral & Maxillofacial Surgery
202 W PARK AVE
GREENWOOD, MS 38930
Leflore County (662) 219-0044
SAMUEL H LAMBDIN M.D.
Specialist
202 W PARK AVE
GREENWOOD, MS 38930
Leflore County (662) 453-0646

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 Oral And Facial Surgery LLC's NPI number?

The NPI number for Moses Oral And Facial Surgery LLC is 1609407907. It was assigned to this organization in the NPPES registry on January 27, 2020. The provider is doing business as Moses Oral and Facial Surgery.

Where is Moses Oral And Facial Surgery LLC located?

Moses Oral And Facial Surgery LLC is located at 202 W Park Ave, Greenwood, MS 38930. The listed phone number is (662) 219-0044.

What is Moses Oral And Facial Surgery LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Moses Oral And Facial Surgery LLC was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.