Provider Demographics
NPI:1386866481
Name:ARI L. MOSKOWITZ, DMD, PA
Entity Type:Organization
Organization Name:ARI L. MOSKOWITZ, DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERIODONTIST,CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:410-744-6088
Mailing Address - Street 1:6400 BALTIMORE NATIONAL PIKE
Mailing Address - Street 2:SUITE 200B
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3928
Mailing Address - Country:US
Mailing Address - Phone:410-744-6088
Mailing Address - Fax:410-744-6141
Practice Address - Street 1:6400 BALTIMORE NATIONAL PIKE
Practice Address - Street 2:SUITE 200B
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3928
Practice Address - Country:US
Practice Address - Phone:410-744-6088
Practice Address - Fax:410-744-6141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12957261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental