Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Carroll Moss, DMDMSPLLC

Individual provider Dentist · NPI 1043332844

Kevin Carroll Moss, DMDMSPLLC is a Dentist in Lacey, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

5320 Corporate Center Loop SE Ste A
Lacey, WA 98503
Phone: (360) 491-7080
Fax: (360) 491-7105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 0700009204 (WA)
Dentist Taxonomy 122300000X · Licence 0700009204 (WA)

Record details

NPI number1043332844
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDMSPLLC
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESSeptember 11, 2025

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