ANDREW R MOFFITT (NPI# 1851477020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851477020 |
| Entity Type | Individual |
| Full Name | ANDREW R MOFFITT |
| Credential | DDS MS |
| Practice Address |
502 Jefferson Hwy Champlin MN 55316 |
| Practice Telephone | 7634271311 |
| Practice Fax Number | 7634271315 |
| Mailing Telephone | 7634271311 |
| Mailing Fax Number | 7634271315 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223G0001X |
Dentist Specialization: General Practice |
12062 | MN | Dental Providers |
| X | 1223P0700X |
Dentist Specialization: Prosthodontics |
12062 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581988 | Andrew Moffitt | Case Manager/Care Coordinator | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2019-07-30 |
| Street Address |
502 JEFFERSON HWY |
| City | CHAMPLIN |
| State | MN |
| Zip Code | 55316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1811463573 | Vikings Home Health Care LLC | Meals | 11551 Georgia Ave, N, Champlin, MN 55316 | 2018-10-22 |
| 1255853305 | Matthew L Boelter | Hearing Instrument Specialist | 11451 Oregon Ave N, Champlin, MN 55316 | 2017-07-11 |
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1346502523 | Transitions Home Care Ltd | Home Health | 11030 Douglas Drive North, Champlin, MN 55316 | 2012-06-13 |
| 1639373285 | Michael D Smilanich | Dentist | 11231 Aquila Dr N, Champlin, MN 55316 | 2007-06-14 |
| 1760532907 | Kurt Allan Bender | Dentist | 500 A Jefferson Hwy, Champlin, MN 55316 | 2007-01-11 |
| 1366529752 | Gregory Allan Holmberg | Chiropractor | #8 3rd Street Nw, Osseo, MN 55316 | 2006-11-01 |
| Find all providers in zip 55316 | ||||
| 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 |
|---|---|---|---|---|
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1003052770 | Kenneth Donald Salo | Dentist | 11816 Mississippi Dr N, Champlin, MN 55316-2513 | 2008-12-30 |
| 1609928563 | Majid Fehresti | Dentist | 12027 Business Park Blvd N, Champlin, MN 55316-4526 | 2007-01-18 |
| 1386710499 | Pdg, P.a. | Dentist | 12180 Business Park Boulevard North, Champlin, MN 55316-3123 | 2006-11-28 |
| 1144306101 | Docia Ann Hogan | Dentist | 12233 Champlin Dr, Champlin, MN 55316-1930 | 2006-10-31 |
| 1992818751 | Champlin Family Dental Pa | Dentist | 12233 Champlin Drive, Champlin, MN 55316 | 2006-08-16 |
| 1427416163 | Ashley Marie Verbick | Dentist | 12180 Business Park Blvd N, Champlin, MN 55316-4525 | 2016-02-09 |
| 1376877316 | Twin Cities Dental, Pa | Dentist | 12027 Business Park Blvd N, Champlin, MN 55316-4526 | 2009-09-23 |
| 1336336536 | Owen James Thoele | Dentist | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2007-10-02 |
| 1699834150 | Krista Monique Thelen | Dentist | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2006-12-08 |
| Find all providers in CHAMPLIN | ||||
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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.