Moss, Lewis G
Moss, Lewis G is an individual health care provider with primary practice located at 1815 Montague Avenue Ext Unit 1, Greenwood SC 29649-7501. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Moss, Lewis G can be contacted via phone (864) 223-1152.Contact Information
Primary practice address
1815 Montague Avenue Ext Unit 1
Greenwood SC 29649-7501
Phone: (864) 223-1152
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2124 | South Carolina |
Profile Details
| NPI number | 1629266143 |
|---|---|
| LBN Legal business name | Moss, Lewis G |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2007 |
| Last updated | Oct 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629266143 | NPPES |
| South Carolina | MEDICAID | ZA9604 |
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