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Kenneth J Moran, DDS
Oral and Maxillofacial Surgery (Dentist) in Tuba City, Arizona
NPI 1548200256

Kenneth J Moran is a Oral and Maxillofacial Surgery (Dentist) based in Tuba City, AZ and is specialized in Oral and Maxillofacial Surgery. Kenneth J Moran practices in Tuba City, AZ and has the professional credentials of DDS. The NPI Number for Kenneth J Moran is 1548200256 and holds a License No. 5577 (Arizona).

The current practice location address for Kenneth J Moran is 167 North Main Street, Tuba City, AZ and can be reached out via phone at 928-283-2501 and via fax at 928-283-2677.

Location: 167 North Main Street, Tuba City, AZ, 86045-0600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548200256
Provider Name
Kenneth J Moran
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
167 North Main Street, Tuba City, AZ, 86045-0600
Phone Number
928-283-2501
Fax Number
928-283-2677
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
422329 05 AZ
institution
Provider Business Practice Location Address Details
Address
167 North Main Street
City
Tuba City
State
Arizona
Zip
86045-0600
Phone Number
928-283-2501
Fax Number
928-283-2677
person
Provider Business Mailing Address Details
Address
167 North Main Street
City
Tuba City
State
Arizona
Zip
86045-0600
Phone Number
928-283-2501
Fax Number
928-283-2677
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5577 (Arizona)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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