Jeffrey V Moffett D.M.D P.a

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN15450 Issued in FL

Legal business name

JEFFREY V MOFFETT D.M.D P.A

Practice address

13136 Vail Ridge Dr
Riverview, FL 33579-7187

Phone

(813) 677-3331

Fax

(813) 677-3336

NPI assigned

Nov 14, 2008

Last updated

Nov 14, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Victor Moffett, D.M.DNPI 1588745228

Title

President

Phone

(813) 677-3331

Specialties & licenses 1

Addresses

Other names 1

• moffett oral surgery and dental implant center Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Victor Moffett, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1588745228
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1033363197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13136 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797187",
            "telephone_number": "813-677-3331",
            "fax_number": "813-677-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13136 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797187",
            "telephone_number": "813-677-3331",
            "fax_number": "813-677-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY V MOFFETT D.M.D P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-677-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN15450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "moffett oral surgery and dental implant center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abril Jaramillo
• Todd M Jarvis, DC
• Daniel James Jasko, M.D.
• Hannah Jean-Bart, APRN
• Nathan Jean-Pierre, PHARMD
• Britney Jenkins
• Jennifer a. Leigh, M.S. CCC-SLP, Inc. (Total Therapy)
• Jennifer a. Leigh, M.S. CCC-SLP, Inc. (Total Therapy)
• Jenny Edwards, PLLC
• Sophia Jensen

• Oral and Maxillofacial Surgery (Dentist) in Riverview, FL
• Providers in Riverview, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.