Tina P. Moses, DMD, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN012036 Issued in GA

Legal business name

TINA P. MOSES, DMD, PC

Practice address

1240 Augusta West Pkwy
Augusta, GA 30909-1854

Phone

(706) 863-6262

Fax

(706) 863-6465

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tina Perry Moses, DMDNPI 1073552683

Title

President

Phone

(706) 863-6262

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.

• Tina Perry Moses, DMD

  • Dentist
  • Augusta, GA
  • NPI 1073552683
  NPD (past) Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1336349166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091854",
            "telephone_number": "706-863-6262",
            "fax_number": "706-863-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091854",
            "telephone_number": "706-863-6262",
            "fax_number": "706-863-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA P. MOSES, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-863-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren W Tiernan, APRN
• Mary Christina Tillman, PA-C
• Sherri Anita Tillman, MCD, CCC-SLP
• Clayton Douglas Timmerman, DMD
• Shannon Timmerman, NP
• Tina Therapeutics Massage Therapy
• Kennedy Tiner
• Joseph Spears Tingen, MD
• Kellie Studstill Tinley, CRNA
• Pamela Sue Tipler, D.O.

• Pediatric Dentistry in Augusta, GA
• Providers in Augusta, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.