Individual provider · Type 1 NPI
Timothy Mosher, DMD
Periodontics · Logan, UT
NPI number
1912290446
Active
Practice location
168 E 200 N
Logan, UT 84321-4036
Mailing address
150 E 200 N Ste H
Logan, UT 84321-4036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 8678914 (UT) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1912290446
Timothy Mosher, DMD's National Provider Identifier is 1912290446, issued on May 17, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Logan, UT. The record was last updated on Jan 22, 2026.