Dr Terry Joseph Moll, DDS in Canon City, CO - Medicare Dentist Provider

Dr Terry Joseph Moll, DDS is a medicare enrolled "Dentist - General Practice" provider in Canon City, Colorado. His current practice location is 1201 N 15th St, Canon City, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 275-8950.

Dr Terry Joseph Moll is licensed to practice in Colorado (license number 104110) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508830241.

Contact Information

	Dr Terry Joseph Moll, DDS
	1201 N 15th St, Canon City, CO 81212-4620
	(719) 275-8950
	Not Available

Healthcare Provider's Profile

Full Name	Dr Terry Joseph Moll
Gender	Male
Speciality	Dentist - General Practice
Location	1201 N 15th St, Canon City, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508830241
Provider Enumeration Date: 02/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4688979008
Enrollment ID: I20160223002154

Medical Identifiers

Medical identifiers for Dr Terry Joseph Moll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508830241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	104110 (Colorado)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Terry Joseph Moll is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Terry Joseph Moll, DDS 1201 N 15th St, Canon City, CO 81212-4620 Ph: (719) 275-8950	Dr Terry Joseph Moll, DDS 1201 N 15th St, Canon City, CO 81212-4620 Ph: (719) 275-8950

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Dentist in Canon City, CO

Phillip Earl Pontious, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1204 Main St, Canon City, Canon City, CO 81212 Phone: 719-275-2887 Fax: 719-275-2761
Dean E Sandoval, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1215 N 15th St, Canon City, CO 81212 Phone: 719-275-5933 Fax: 719-275-4385
Dr. Jared M. Smith, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 618 Main St, Canon City, CO 81212 Phone: 719-275-0661
Dr. Bradley J Schluter, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 210 N 19th St, Canon City, CO 81212 Phone: 719-275-2454 Fax: 719-275-3098
Dr. John Michael Kearney, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 610 Yale Pl, Canon City, CO 81212 Phone: 719-275-4474 Fax: 719-275-1010
Dr. Clinton Scott Timmerman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 410 Macon Ave, Canon City, CO 81212 Phone: 719-276-0117

Dr Terry Joseph Moll, DDS - Medicare Dentist in Canon City, CO