Thomas Francis Mooney, DDS, MDS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · O Fallon, MO

NPI

1720073166

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

015486 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2005-09-13

Last updated

2012-09-10