OrganizationActive
Moss Orthodontics, PC
NPI 1104308030 · Orthodontics and Dentofacial Orthopedics Dentistry · Cody, WY
Provider details
- NPI number
- 1104308030
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- Mathew Moss, Owner
- License
- 1133 (WY)
Mailing address
613 Yellowstone Ave Ste B
Cody, WY 82414-9366
Registry dates
- Enumerated
- 2018-09-06
- Last updated
- 2018-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.