Moseley, Andrew W

Moseley, Andrew W is an sole proprietor health care provider with primary practice located at 2063 Wilma Rudolph Blvd , Clarksville TN 37040-6621. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Moseley, Andrew W can be contacted via phone (931) 552-1302.

Contact Information

Primary practice address
2063 Wilma Rudolph Blvd Clarksville TN 37040-6621
Phone: (931) 552-1302
Fax: (931) 552-4755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3259 Tennessee

Profile Details

NPI number 1336225176
LBN Legal business name Moseley, Andrew W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336225176 NPPES
Tennessee Other 2008920 BLUE CROSS BLUE SHIELD
Tennessee Other 800959 BLUE CROSS BLUE SHIELD

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