| Dennis R. Mooney Dds, Llc | |
|
215 Ochlockonee St Crawfordville FL 32327-8022 | |
| (850) 926-7151 | |
| (850) 926-6116 |
| Full Name | Dennis R. Mooney Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 215 Ochlockonee St, Crawfordville, Florida |
| Authorized Official Name and Position | Leigh E Annand (OFFICE MANAGER) |
| Authorized Official Contact | 8509267151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis R. Mooney Dds, Llc 215 Ochlockonee St Crawfordville FL 32327-8022 Ph: (850) 926-7151 | Dennis R. Mooney Dds, Llc 215 Ochlockonee St Crawfordville FL 32327-8022 Ph: (850) 926-7151 |
| NPI Number | 1710907191 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710907191 | NPI | - | NPPES |
| 074033100 | Medicaid | FL | |
| 42086 | Other | PRO. # - ADI, INC. | |
| 580933 | Other | PRO. # - COMPBENEFITS COR | |
| 141 | Other | FL | PRO. # - MCNA |
| 65978 | Other | PRO. # - METLIFE | |
| 85439 | Other | FL | PRO. # - BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0006229 (Florida) | Primary |
Songbird Dental Studio, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Songbird Ave Unit F, Crawfordville, FL 32327 Phone: 850-745-5002 Fax: 850-745-5009 |