Jordan Michael Moffitt, DDS is a
Dentist based in Eagle Grove, Iowa. Jordan Michael Moffitt is licensed to practice in Iowa (license number 9223) and his current practice location is
422 West Broadway, Eagle Grove, Iowa. He can be reached at his office (for appointments etc.) via phone at
(515) 448-4852.
NPI number for Jordan Michael Moffitt is 1982087524 and his current mailing address is 422 West Broadway, Eagle Grove, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982087524.
Healthcare Provider's Profile
| Full Name | Jordan Michael Moffitt |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 422 West Broadway, Eagle Grove, Iowa |
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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: 1982087524
- Provider Enumeration Date: 07/01/2015
- Last Update Date: 07/01/2015
Medical Identifiers
Medical identifiers for Jordan Michael Moffitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982087524 | NPI | - | NPPES |
| 271500633 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 9223 (Iowa) | 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. Jordan Michael Moffitt 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 |
|---|
Jordan Michael Moffitt, DDS
422 West Broadway,
Eagle Grove, IA 50533-1704
Ph: (515) 448-4852 | Jordan Michael Moffitt, DDS
422 West Broadway,
Eagle Grove, IA 50533-1704
Ph: (515) 448-4852 |
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