Jared Moberg, DDS is a
Dentist based in Jacksonville, California. Jared Moberg is licensed to practice in Michigan (license number 2901021195) and his current practice location is
2005 Knight Lane Building H, Navy Medicine Support Command Attention Medical Staff, Jacksonville, California. He can be reached at his office (for appointments etc.) via phone at
(760) 725-3213.
NPI number for Jared Moberg is 1487055950 and his current mailing address is 13128 14th Street, Camp Pendleton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487055950.
Healthcare Provider's Profile
| Full Name | Jared Moberg |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 2005 Knight Lane Building H, Jacksonville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487055950
- Provider Enumeration Date: 09/15/2014
- Last Update Date: 09/15/2014
Medical Identifiers
Medical identifiers for Jared Moberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487055950 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2901021195 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jared Moberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jared Moberg, DDS
13128 14th Street,
Camp Pendleton, CA 92058
Ph: (651) 343-7779 | Jared Moberg, DDS
2005 Knight Lane Building H, Navy Medicine Support Command Attention Medical Staff,
Jacksonville, CA 32212-0140
Ph: (760) 725-3213 |
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