DR. FREDERICK JON MOFFITT (NPI# 1548326697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548326697 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK JON MOFFITT |
| Credential | DMD |
| Practice Address |
848 Pittsburgh St Springdale PA 15144-1640 |
| Practice Telephone | 7242745411 |
| Practice Fax Number | 7242745412 |
| Mailing Telephone | 7242745411 |
| Mailing Fax Number | 7242745412 |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS-026279-L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA STATE DENTAL LICENSE | DS-026279-L | 01 |
| Street Address |
848 PITTSBURGH ST |
| City | SPRINGDALE |
| State | PA |
| Zip Code | 15144-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124044094 | Frazetta Chiropractic Health Center | Chiropractor | 846 Pittsburgh St, Springdale, PA 15144 | 2006-07-14 |
| 1417096470 | Drs. Mock Associates In General Dentistry | Dentist | 315 Pittsburgh Street, Springdale, PA 15144-0182 | 2007-02-06 |
| 1548504327 | Jill S Harlan | Physician Assistant | 1085 Butler Rd, Springdale, PA 15144-1042 | 2012-11-19 |
| 1477190981 | Barry Gilliam | Peer Specialist | 220 Sycamore Ridge Dr, Springdale, PA 15144-1054 | 2019-12-03 |
| 1114190766 | Samantha J Machnik | Specialist/Technologist | 501 Butler Rd, Springdale, PA 15144-1298 | 2008-04-03 |
| 1649292996 | Harold S.david Mock II | Dentist | 315 Pittsburgh St, Springdale, PA 15144-1406 | 2006-07-24 |
| 1760912802 | Maxwell David Mock | Dentist | 315 Pittsburgh St, Springdale, PA 15144-1406 | 2017-06-12 |
| 1538136270 | Joseph R. Calcagno | Chiropractor | 541 Pittsburgh St, Springdale, PA 15144-1409 | 2006-03-01 |
| 1225038300 | Robert Joseph Dent | Physical Therapist | 507 Pittsburgh St, Springdale, PA 15144-1409 | 2005-07-29 |
| 1164935243 | Bennett D Richardson | Physical Therapist | 507 Pittsburgh St, Springdale, PA 15144-1409 | 2017-11-10 |
| Find all providers in zip 15144 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1851661003 | Andrew J Duck | Dentist | 2111 S Old Missouri Rd, Springdale, AR 72764-8718 | 2012-01-05 |
| 1063641736 | Donathan Scott Kimbrough | Dentist | 2702 American St, Springdale, AR 72764-6937 | 2009-07-02 |
| 1528251964 | Kyle William Harris | Dentist | 711 Quandt Ave, Springdale, AR 72764-5351 | 2007-08-20 |
| 1417096470 | Drs. Mock Associates In General Dentistry | Dentist | 315 Pittsburgh Street, Springdale, PA 15144-0182 | 2007-02-06 |
| 1750440582 | Anmarie Giddings | Dentist | 105 North 2nd, Springdale, WA 99173-1349 | 2006-12-07 |
| 1518033018 | Timothy Charles Rothrock | Dentist | 1308 S Pleasant St, Springdale, AR 72764-6223 | 2006-11-27 |
| 1972677417 | Mark Robert Onady | Dentist | 333 W Kemper Rd, Springdale, OH 45246 | 2006-11-17 |
| 1447340450 | Randal S Kimbrough Dds Pa | Dentist | 2702 American Street, Springdale, AR 72764 | 2006-10-13 |
| 1851489835 | Smile Center, P.a. | Dentist | 920 W Emma Ave, Springdale, AR 72764-4472 | 2006-10-11 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 15144 |
Please comment or provide details below to improve the information on DR. FREDERICK JON MOFFITT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.