Provider Demographics
NPI:1568785715
Name:MOSHIER, JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:MOSHIER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6134 REDWOOD SQ CTR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2642
Mailing Address - Country:US
Mailing Address - Phone:703-266-2483
Mailing Address - Fax:703-266-9300
Practice Address - Street 1:6134 REDWOOD SQ CTR
Practice Address - Street 2:SUITE 202
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2642
Practice Address - Country:US
Practice Address - Phone:703-266-2483
Practice Address - Fax:703-266-9300
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014125571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice