IndividualActive
Timothy Mosher, DMD
NPI 1912290446 · Periodontics · Logan, UT
Provider details
- NPI number
- 1912290446
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8678914 (UT)
Specialties & taxonomies
Dental Providers
Practice location
168 E 200 N
Logan, UT 84321-4036
Phone: (435) 753-9470
Approximate (ZIP-level) locationGet directions
Mailing address
150 E 200 N Ste H
Logan, UT 84321-4036
Registry dates
- Enumerated
- 2011-05-17
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.