Individual provider · Type 1 NPI
John T. Mooney, DMD
General Practice Dentistry · Pocatello, ID
NPI number
1386739720
Active
Practice location
333 West Cedar
Pocatello, ID 83201-0000
Fax (208) 233-6921
Mailing address
2645 Summers Way
Pocatello, ID 83204-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D-1486 (ID) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1386739720
John T. Mooney, DMD's National Provider Identifier is 1386739720, issued on Oct 3, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.