IndividualActive
Adil Moghul, DDS
NPI 1073250247 · General Practice Dentistry · Kansas City, MO
Provider details
- NPI number
- 1073250247
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2022017964 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
319 Ne Vivion Rd
Kansas City, MO 64118-4510
Phone: (816) 459-0000
Approximate (ZIP-level) locationGet directions
Mailing address
1437 Gardena Ave Ne
Fridley, MN 55432-5815
Registry dates
- Enumerated
- 2022-05-18
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.