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Individual
SHAWN MOFFETT
Active
Individual
SHAWN MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7318
OK
1223P0700X
Prosthodontics
Primary
7318
OK
390200000X
Student in an Organized Health Care Education/Training Program
7318
OK
Other
Enumeration date
04/16/2020
Last updated
08/05/2025
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