Organization Active NPI

Moses Dental PLLC

  • General Practice Dentistry
  • Williamsburg, KY
National Provider Identifier
1164301396
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOSES DENTAL PLLC
Practice address
841 S Highway 25 W Ste 9
Williamsburg, KY 40769-4600
Phone
(606) 549-4150
Fax
(606) 549-1067
NPI assigned
Sep 1, 2025
Last updated
Sep 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Laura G Moses
Title
Owner
Phone
(606) 549-4150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

841 S Highway 25 W Ste 9
Williamsburg, KY 40769-4600

Mailing address

841 S Highway 25 W Ste 9
Williamsburg, KY 40769-4600
Phone (606) 549-4150

National Provider Directory

National Provider Directory

Locations

841 S Highway 25 W
Ste 9
Williamsburg, KY 40769
Phone (606) 549-4150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1164301396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 S HIGHWAY 25 W STE 9",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407694600",
            "telephone_number": "606-549-4150",
            "fax_number": "606-549-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 S HIGHWAY 25 W STE 9",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407694600",
            "telephone_number": "606-549-4150",
            "fax_number": "606-549-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-549-4150",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.