Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRETT EDDIS MOOSO, D.D.S.,M.S.,P.A.
Active Sole ProprietorDR. BRETT EDDIS MOOSO, D.D.S.,M.S.,P.A. is a Orthodontics healthcare provider located in IDAHO FALLS, Idaho. NPI 1902902208 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1902902208
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2006 (19.871470677072 yrs)
- Last Updated
- Jul 9, 2007
- License
-
D-3029-OR (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1410 E 17TH STIDAHO FALLS, ID, 834046269Browse ID providers · Browse ZIP 83404
- Phone
- 2085224552
- Fax
- 2085224555
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DWIGHT DOUGLAS BAKER | D.D.S., M.S. | 1053496083 |
| DR. JEFFREY W JOHNSON | DDS, MS | 1821130253 |
| PHILLIP DAVID LOWDER | D.D.S., M.CL.D | 1902949969 |
| LAYNE K MCCORD | D.M.D. | 1306053350 |
| DR. JOSEPH HYRUM ELISON | DDSMS | 1710188081 |
| DR. JOSEPH MATTHEW ELISON | DDSMS | 1417158791 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.