Keith Edwin Moomaw, DDS
Dentist · Edgewood, MD
Practice location
1308 Business Center WaySuite 105
Edgewood, MD 21040-1504
- Phone
- (410) 679-2790
NPI record
- NPI
- 1164645859
- Entity type
- Individual (Type 1)
- Enumeration date
- April 11, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
MD6960 | MD |
About Dr. Moomaw
Keith Edwin Moomaw, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1308 Business Center Way, Suite 105, Edgewood, MD 21040-1504. The NPI number 1164645859 was assigned on April 11, 2007 and the record was last updated on July 8, 2007.
Dr. Moomaw lists a license in the registry: #MD6960 (MD) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Keith Edwin Moomaw, DDS?
The NPI number is 1164645859.
What is the phone number of Dr. Moomaw?
The phone number listed for the practice location is (410) 679-2790.
Where is Dr. Moomaw located?
1308 Business Center Way, Suite 105, Edgewood, MD 21040-1504.
What is the taxonomy code for Dr. Moomaw?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Edgewood
- Chesapeake Contemporary Dentistry, P.A.1308 Business Center Way
- Jack K. Reynolds DDS PA2104 Trimble Rd