Mooney, Carson A.
Mooney, Carson A. is an individual health care provider with primary practice located at 480 N Latah St , Boise ID 83706-2630. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mooney, Carson A. can be contacted via phone (208) 345-8962.Contact Information
Primary practice address
480 N Latah St
Boise ID 83706-2630
Phone: (208) 345-8962
Fax: (208) 345-5207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D-3547 | Idaho |
Profile Details
| NPI number | 1942333521 |
|---|---|
| LBN Legal business name | Mooney, Carson A. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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