- Practice location
- 500 Raynham Street West, Raynham, MA 02767
- Phone
- 508-822-6565
- Fax
- 508-822-6525
- Last updated
- July 8, 2007
Luis Moncada is a Dentist based in Raynham, MA. Luis Moncada practices in Raynham, MA and has the professional credentials of DMD. The NPI Number for Luis Moncada is 1629115688 and holds a License No. 21682 (MA). The current practice location address for Luis Moncada is 500 Raynham Street West, Raynham, MA 02767 and can be reached out via phone at 508-822-6565 and via fax at 508-822-6525.
Provider Profile Details
- NPI Number
- 1629115688
- Provider Name
- Luis Moncada
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 500 Raynham Street West, Raynham, MA 02767
- Phone Number
- 508-822-6565
- Fax Number
- 508-822-6525
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 31, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Raynham Street West
Raynham, MA 02767 - City
- Raynham
- State
- Massachusetts
- Zip
- 02767
- Phone Number
- 508-822-6565
- Fax Number
- 508-822-6525
Provider Business Mailing Address Details
- Address
- Po Box 3189
Syracuse, NY 13220-3189 - City
- Syracuse
- State
- NY
- Zip
- 13220-3189
- Phone Number
- 315-454-6000
- Fax Number
- 315-454-8650
License Information
- License Number
- 21682
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Raynham, MA
View all Dentists in Raynham →Frequently Asked Questions
What is the NPI number of Luis Moncada, DMD?
The NPI number of Luis Moncada, DMD is 1629115688. It was assigned on January 31, 2007 and is currently active in the NPPES registry.
What is the specialty of Luis Moncada, DMD?
Luis Moncada, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 21682.
Where does Luis Moncada, DMD practice?
The practice location is 500 Raynham Street West, Raynham, MA 02767. The office can be reached at 508-822-6565 (phone) or 508-822-6525 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629115688 directly on the NPPES registry website.