Andrew R Moffitt in Champlin - Prosthodontics
Andrew R Moffitt - NPI 1851477020
Andrew R Moffitt is a Prosthodontics in Champlin, Minnesota. Andrew R Moffitt practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Andrew R Moffitt is 1851477020. The last update date is 2007-07-08.
Andrew R Moffitt's current location address is 502 Jefferson Hwy, Champlin, Minnesota. You can contact this provider via phone number 7634271311 and fax number 7634271315. The mailing address for Andrew R Moffitt is 502 Jefferson Hwy, Champlin, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew R Moffitt |
|---|---|
| Address | 502 Jefferson Hwy, Champlin, Minnesota |
| Phone Number | 7634271311 |
| Fax Number | 7634271315 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1851477020 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 502 Jefferson Hwy |
|---|---|
| City | Champlin |
| State | Minnesota (MN) |
| Post Code | 55316 |
| Phone Number | 7634271311 |
| Fax Number | 7634271315 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 12062 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Andrew R Moffitt?
The Andrew R Moffitt has been issued the NPI (National Provider Identifier) 1851477020 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Andrew R Moffitt is physically located?
The Andrew R Moffitt is physically situated at the following address: 502 Jefferson Hwy, Champlin, MN, 55316.
What is Andrew R Moffitt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andrew R Moffitt's area of specialization is Prosthodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851477020 to Andrew R Moffitt?
The Centers for Medicare & Medicaid Services originally issued the 1851477020 to Andrew R Moffitt on 2006-10-31.
As of what date were the details related to Andrew R Moffitt most recently updated or revised?
The information pertaining to Andrew R Moffitt, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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