Dr. Keith Edwin Moomaw is a Edgewood, Maryland based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Keith Edwin Moomaw is
MD6960 for Dentistry in Maryland. His current practice location is
1308 Business Center Way, Suite 105, Edgewood. Patients can reach him at
410-679-2790.
Dr. Keith Edwin Moomaw is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Keith Edwin Moomaw speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Keith Edwin Moomaw |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1308 Business Center Way, Suite 105, Edgewood,
Maryland, 21040-1504 |
| Phone: | 410-679-2790 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1164645859 |
| NPI Enumeration Date: | 11 Apr, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Keith Edwin Moomaw are as mentioned below.
| License Number | Specialization | State | Status | |
| MD6960 | Dentistry | Maryland | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1308 Business Center Way, Suite 105
Edgewood, Maryland |
| Zip: | 21040-1504 |
| Phone Number: | 410-679-2790 |
Patients can reach Dr. Keith Edwin Moomaw at
1308 Business Center Way, Suite 105, Edgewood, Maryland or can
call to book an appointment on 410-679-2790.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.