Moyer, David J

Moyer, David J is an individual health care provider with primary practice located at 20 Long Creek Dr Suite B, South Portland ME 04106-2425. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Moyer, David J can be contacted via phone (207) 772-4063.

Contact Information

Primary practice address
20 Long Creek Dr Suite B South Portland ME 04106-2425
Phone: (207) 772-4063
Fax: (207) 772-8641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12684 Maine

Profile Details

NPI number 1881684587
LBN Legal business name Moyer, David J
Credentials DDS,MD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1881684587 NPPES
Maine MEDICAID 3074500099

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