# SHAWN MOFFETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1558981829
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7318 | OK | — |
| 1223P0700X | Prosthodontics | 7318 | OK | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 7318 | OK | — |

## Other

- **Enumeration date:** 04/16/2020
- **Last updated:** 08/05/2025