Dennis R. Mooney DDS, LLC
Organization Active NPI General Practice Dentistry · Crawfordville, FL
NPI 1710907191 · NPPES record last updated Sep 10, 2012
Key facts
- NPI
- 1710907191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN0006229 (FL)
- Legal business name
- DENNIS R. MOONEY DDS, LLC
- Practice address
- 215 Ochlockonee St
Crawfordville, FL 32327-8022 - Phone
- (850) 926-7151
- Fax
- (850) 926-6116
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Leigh E Annand
- Title
- Office Manager
- Phone
- (850) 926-7151
Practitioners 1
-
Dennis R Mooney, DDS
National Provider Directory
Locations
215 Ochlockonee St
Crawfordville, FL 32327
Phone (850) 926-7151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DN0006229 | FL | Yes |
Addresses
Primary practice location
215 Ochlockonee St
Crawfordville, FL 32327-8022
Mailing address
215 Ochlockonee St
Crawfordville, FL 32327-8022
Phone (850) 926-7151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074033100 | Medicaid | FL | |
| 42086 | Other | PRO. # - ADI, INC. | |
| 580933 | Other | PRO. # - COMPBENEFITS COR | |
| 141 | Other | FL | PRO. # - MCNA |
| 65978 | Other | PRO. # - METLIFE | |
| 85439 | Other | FL | PRO. # - BCBS |
Other providers in Crawfordville, FL
- Ronda Lee Curtis
- Bob Cutlip
- Sarah Dahrens
- Courtney Lane Davis
- Jennifer Dean
- Disc Village, Inc.
- Doc Haley Enterprises, LLC
- Dos of Eden Springs LLC
- Curtis Joseph Duggar
- Jennifer Savary Duggar
All providers in Crawfordville, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.