| Zachary D. Moffitt, Dds, Pllc | |
|
333 E. Etowah Rd Noble OK 73068 | |
| (405) 872-0440 | |
| (405) 872-0442 |
| Full Name | Zachary D. Moffitt, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 333 E. Etowah Rd, Noble, Oklahoma |
| Authorized Official Name and Position | Zachary Dode Moffitt (SOLE MEMBER/PRESIDENT/DENTIST) |
| Authorized Official Contact | 4058720440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary D. Moffitt, Dds, Pllc Po Box 7 Noble OK 73068 Ph: (405) 872-0440 | Zachary D. Moffitt, Dds, Pllc 333 E. Etowah Rd Noble OK 73068 Ph: (405) 872-0440 |
| NPI Number | 1245468602 |
|---|---|
| Provider Enumeration Date | 06/24/2009 |
| Last Update Date | 06/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245468602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Dental Lodge Of Noble, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 Parkwoods Dr, Noble, OK 73068 Phone: 405-872-9597 Fax: 405-872-5271 | |
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Dental Lodge, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305a N Main St, Noble, OK 73068 Phone: 405-872-9597 Fax: 405-872-5271 |