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

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD-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.