Ryan C Moffat is a Pediatric Dentistry in Draper, Utah. Ryan C Moffat practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Ryan C Moffat is 1326056300. The last update date is 2007-07-08.
Ryan C Moffat's current location address is Po Box 830, Draper, Utah. You can contact this provider via phone number 8014951610 and fax number 8014951631. The mailing address for Ryan C Moffat is Po Box 830, Draper, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan C Moffat |
|---|---|
| Address | Po Box 830, Draper, Utah |
| Phone Number | 8014951610 |
| Fax Number | 8014951631 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1326056300 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 830 |
|---|---|
| City | Draper |
| State | Utah (UT) |
| Post Code | 84020 |
| Phone Number | 8014951610 |
| Fax Number | 8014951631 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5832460 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 960296 | AZ | AHCCCS | |
| 1749089 | UNITED CONCORDIA | ||
| 58324609900001 | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Ryan C Moffat by the Centers for Medicare & Medicaid Services (CMS)?
The Ryan C Moffat has been assigned the NPI (National Provider Identifier) 1326056300. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Ryan C Moffat's facilities are geographically located?
The facilities of Ryan C Moffat are physically situated at the following location: Po Box 830, Draper, UT, 84020.
What is the Ryan C Moffat's specialty and taxonomy code?
The Ryan C Moffat's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When did the Ryan C Moffat receive its 1326056300?
The Ryan C Moffat was issued its 1326056300 on 2006-08-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Ryan C Moffat last refreshed?
The information related to the Ryan C Moffat, including its address, specialty, and other relevant details, was last updated on 2007-07-08.