IndividualActive
Josiah Moutray, DDS
NPI 1497432181 · General Practice Dentistry · Eldon, MO
Provider details
- NPI number
- 1497432181
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2023025774 (MO)
Specialties & taxonomies
Dental Providers
Practice location
202 N Maple St
Eldon, MO 65026-1776
Phone: (573) 392-5213
Approximate (ZIP-level) locationGet directions
Mailing address
1917 Bunker Hill Rd
Jefferson City, MO 65109-5606
Registry dates
- Enumerated
- 2023-07-03
- Last updated
- 2023-07-03
- Certified
- 2023-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.