| Jordan Michael Moffitt, DDS | |
|
422 West Broadway, Eagle Grove, IA 50533-1704 | |
| (515) 448-4852 | |
| (515) 448-3533 |
| Full Name | Jordan Michael Moffitt |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 422 West Broadway, Eagle Grove, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982087524 | NPI | - | NPPES |
| 271500633 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9223 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Michael Moffitt, DDS 422 West Broadway, Eagle Grove, IA 50533-1704 Ph: (515) 448-4852 | Jordan Michael Moffitt, DDS 422 West Broadway, Eagle Grove, IA 50533-1704 Ph: (515) 448-4852 |
Dr. Spencer Wallace Walker, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 322 S Commercial Ave, Eagle Grove, IA 50533 Phone: 515-448-4852 | |
Dr. Michael W Moffitt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 422 W Broadway St, Eagle Grove, IA 50533 Phone: 515-448-4852 Fax: 515-448-3533 |