Individual provider · Type 1 NPI

Kevin Carroll Moss, DMD MS PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Lacey, WA

NPI number 1043332844 Active

Practice location

5320 Corporate Center Loop SE, Suite A
Lacey, WA 98503

Fax (360) 491-7105

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X0700009204 (WA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X0700009204 (WA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1043332844

Kevin Carroll Moss, DMD MS PLLC's National Provider Identifier is 1043332844, issued on Apr 4, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lacey, WA. The record was last updated on Sep 11, 2025.