NPI 1770977134

Walter Carl Moses, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Greenwood, MS

Practice location

Address: 202 W Park Ave, Greenwood, MS 38930-3009
Phone: (662) 219-0044
Fax: (662) 219-0045
Mailing address: 622 County Road 190, Greenwood, MS 38930-6980

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 3793-15 (MS)

Other Oral & Maxillofacial Surgery providers in Mississippi →

Registry record

NPI: 1770977134
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2015
Record last updated: 15 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.