Dee Dennis Moshos Sr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3216 Issued in AZ

Practice address

34 Lake Havasu Ave N Ste 5
Lake Havasu City, AZ 86403-5639

Phone

(929) 453-5577

Fax

(928) 453-1661

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aesthetic Dental Care of Arizona, P.C.

  • General Practice Dentistry
  • Lake Havasu City, AZ
  • NPI 1003007956
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669559357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LAKE HAVASU AVE N STE 5",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035639",
            "telephone_number": "929-453-5577",
            "fax_number": "928-453-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LAKE HAVASU AVE N STE 5",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035639",
            "telephone_number": "929-453-5577",
            "fax_number": "928-453-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHOS",
        "first_name": "DEE",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "520126",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0418650",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohave Medical Imaging Center
• Mohave Mental Health Clinic Inc
• Mohave Mental Health Clinic, Inc.
• Jennifer Molyneux, LPT
• Jessica Mortola, DNP CRNA
• Tejaswi Venkata Mudigonda, M.D.
• Stevie Jean Mueller, FNP-BC
• Ashley Marie Mulder, MD
• Margaret 'Ann' Murray, NMD
• Vivek B Narasimhan, M.D

• General Practice Dentistry in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.