Patrick P Moseley Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2914 Issued in AR

Legal business name

PATRICK P MOSELEY FAMILY DENTISTRY

Practice address

305 N Spring St
Box 640
Fordyce, AR 71742-3317

Phone

(870) 352-5161

Fax

(870) 352-7510

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patrick P Moseley Jr., DDSNPI 1184662140

Title

President

Phone

(870) 352-5161

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Paul Moseley Jr., D.D.S.

  • General Practice Dentistry
  • Fordyce, AR
  • NPI 1184662140

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306977053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "address_2": "305 NORTH SPRING STREET",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717420640",
            "telephone_number": "870-352-5161",
            "fax_number": "870-352-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N SPRING ST",
            "address_2": "BOX 640",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423317",
            "telephone_number": "870-352-5161",
            "fax_number": "870-352-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK P MOSELEY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-352-5161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Nolen, RN
• Samara Nolen, MHPP
• Alisa Kijuana Oneal, MHPP
• Kimra Lynn Osburn, MHPP
• Sondra Lynn Parker, RN
• Tracy Ann Pefferkorn, LPC
• Jeanna Pennington, LPC
• Debra Perry, MHPP
• Emily Phillips, QBHP
• Pine Forest Health and Rehab Center, LLC

• All providers in Fordyce, AR
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.