Marc Wilson Moulton, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3608 Issued in AL

Practice address

3821 Lorna Rd
Suite 106
Hoover, AL 35244-1097

Phone

(205) 988-3360

Fax

(205) 988-3606

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Gunn Dentistry LLC

  • Dental Clinic/Center
  • Hoover, AL
  • NPI 1063374130
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780797241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 LORNA RD",
            "address_2": "SUITE 106",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441097",
            "telephone_number": "205-988-3360",
            "fax_number": "205-988-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 LORNA RD",
            "address_2": "SUITE 106",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441097",
            "telephone_number": "205-988-3360",
            "fax_number": "205-988-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "MARC",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela L Mosely, LICSW
• George Moss
• Halei Moss
• Kinsley W Moss, MS RD LD
• Quintin Jerard Moss Jr.
• William Lawrence Moulton
• Mountain Smiles - Birmingham Endodontics PLLC
• Mountain Smiles - Inverness Family Dentistry PLLC
• Moxy RX LLC
• Lenesha Moyegun, EDD, BCBA

• General Practice Dentistry in Hoover, AL
• Providers in Hoover, AL by specialty
• General Practice Dentistry in Alabama

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.