Individual provider · Type 1 NPI
Nabil Moussa, DDS
Oral and Maxillofacial Surgery (Dentist) · Ladson, SC
NPI number
1073965174
Active
Practice location
3700 Ingleside Blvd # 101
Ladson, SC 29456-4141
Mailing address
3700 Ingleside Blvd #101
Ladson, SC 29456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN123065 (GA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 10479 (SC) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1073965174
Nabil Moussa, DDS's National Provider Identifier is 1073965174, issued on Jul 13, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ladson, SC. The record was last updated on Jul 2, 2023.