DR. JEFFREY VICTOR MOFFETT (NPI# 1588745228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588745228 |
Entity Type | Individual |
Full Name | DR. JEFFREY VICTOR MOFFETT |
Credential | DMD |
Practice Address |
275 Bayshore Blvd 805 Tampa FL 33606-2328 |
Practice Telephone | 3057252315 |
Mailing Telephone | 3057252315 |
Enumeration Date | 2006-10-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN15450 | FL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
1447257985 | Jeffrey Dean Moffett | Orthopaedic Surgery | 2535 Ira E Woods Ave, Grapevine, TX 76051-3930 | 2005-06-30 |
Street Address |
275 BAYSHORE BLVD 805 |
City | TAMPA |
State | FL |
Zip Code | 33606-2328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
Find all providers in zip 33606 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
1316308547 | Renato J. Aves, LLC | Dentist | 7720 W Waters Ave, Tampa, FL 33615-1813 | 2016-03-16 |
1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
1336322650 | Renato J Aves Jr. | Dentist | 7712 W Waters Ave, Tampa, FL 33615-1813 | 2007-12-10 |
1376681791 | Robert Orta | Dentist | 801 West Dr Martin Luther King Jr Blvd, Suite 2, Tampa, FL 33603 | 2007-02-01 |
1194878462 | Robert Orta Dds Pa | Dentist | 801 W Dr Martin Luther King Jr Blvd, Ste 2, Tampa, FL 33603 | 2007-01-19 |
1902909526 | David G Mcdonald | Dentist | 7001 N Dale Mabry, #7, Tampa, FL 33614 | 2006-09-07 |
1245333509 | Dale Salomon | Dentist | 14815 N Dale Mabry Hwy, Tampa, FL 33618-2027 | 2006-09-05 |
1487768792 | Ernesto Valiente | Dentist | 6515 Gunn Hwy, Tampa, FL 33625-4021 | 2006-08-17 |
Find all providers in TAMPA |
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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.