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Organization
THOMAS L. MOFFETT, DDS, P.C.
Active
Organization
THOMAS L. MOFFETT, DDS, P.C.
Active
Other names
Moffett Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L MOFFETT DDS (OWNER/DENTIST)
(717) 561-1118
Entity
Organization
Contact information
Practice address
7983 PAXTON ST, HARRISBURG, PA 17111-5428
(717) 561-1118
(717) 564-9066
Mailing address
7983 PAXTON ST, HARRISBURG, PA 17111-5428
(717) 561-1118
(717) 564-9066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018451L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174605
UNITED CONCORDIA
PA
01
—
1983052
UNITED CONCORDIA WILLIAM L. MOFFETT, DMD
PA
01
—
1984262
UNITED CONCORDIA - PRACTICE
PA
Enumeration date
09/20/2006
Last updated
06/16/2008
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