Neil L Moscow DDS PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS018576L Issued in PA

Legal business name

NEIL L MOSCOW DDS PC

Practice address

510 Darby Road
Suite 201
Havertown, PA 19083

Phone

(610) 449-5010

Fax

(610) 853-4691

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Neil L Moscow, DDSNPI 1467434480

Title

President Dentist

Phone

(610) 449-5010

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, and the practitioner matching its NPPES authorized official.

• Neil L Moscow, DDS

  • Pediatric Dentistry
  • Havertown, PA
  • NPI 1467434480
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891853495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DARBY ROAD",
            "address_2": "SUITE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-449-5010",
            "fax_number": "610-853-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DARBY ROAD",
            "address_2": "SUITE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-449-5010",
            "fax_number": "610-853-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL L MOSCOW DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSCOW",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "610-449-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS018576L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mina Nakhla, PHARM D
• Julilus E Ndumbe
• Negrey Eye Associates
• John N. Negrey Jr., M.D.
• Michael A Negrey, MD
• Barbara L Neilson, D.M.D.
• Howard F Neilson, D.M.D.
• Arthur R Ngo, PT, DPT
• Faustina Nguyen, OD
• My Ha Nguyen, RD

• Pediatric Dentistry in Havertown, PA
• Providers in Havertown, PA by specialty
• Pediatric Dentistry in Pennsylvania

• 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.