# JEFF E MOXLEY DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346647757
- **Authorized official:** DR. JEFF EDWARD MOXLEY DDS (PRESIDENT)
- **Authorized official phone:** (702) 898-8350

## Contact information

- **Practice address:** 3663 E SUNSET RD, 403, LAS VEGAS, NV 89120-3218
- **Practice address phone:** (702) 898-8350
- **Practice address fax:** (702) 898-8392
- **Mailing address:** 3663 E SUNSET RD, 403, LAS VEGAS, NV 89120-3218
- **Mailing address phone:** (702) 898-8350
- **Mailing address fax:** (702) 898-8392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2014
- **Last updated:** 12/01/2014