Gregory Moffitt DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREGORY MOFFITT DDS LLC

Practice address

101 Saint Claire PL Ste 102
Stevensville, MD 21666-2172

Phone

(410) 604-2222

NPI assigned

Jun 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Scott Moffitt, DDSNPI 1073785424

Title

Dentist

Phone

(410) 604-2222

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Scott Moffitt, DDS

  • General Practice Dentistry
  • Stevensville, MD
  • NPI 1073785424
  NPD Authorized official
• Dudley Katz, DDS

  • Pediatric Dentistry
  • Stevensville, MD
  • NPI 1225170681
  NPD (past)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1053989509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SAINT CLAIRE PL STE 102",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662172",
            "telephone_number": "410-604-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAINT CLAIRE PL STE 102",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662172",
            "telephone_number": "410-604-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY MOFFITT DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-604-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Stevensville, MD
• Providers in Stevensville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.