Individual provider · Type 1 NPI

Lisa Diane Moss, RDH

Dental Hygienist · Fort Leonard Wood, MO

NPI number 1497105688 Active

Practice location

5047 Virginia Ave, Bldg 500
Fort Leonard Wood, MO 65473-9126

Call (573) 596-0408 Map

Fax (573) 596-0314

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2006015980 (MO)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1497105688

Lisa Diane Moss, RDH's National Provider Identifier is 1497105688, issued on Jun 17, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Jun 17, 2016.