Jordan Michael Moffitt, DDS

NPI #1982087524 in Eagle Grove, Iowa

Provider Information

NPI Number: 1982087524
Entity Type: Individual
Name: Jordan Michael Moffitt, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 1, 2015
Last Updated: Jul 1, 2015

Practice Location

Address: 422 WEST BROADWAY
City: Eagle Grove
State: Iowa
ZIP Code: 50533-1704
Phone: (515) 448-4852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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