Individual
DR. JARED MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38103-3513
(901) 448-6213
Mailing address
389 MEADOWCREST CIR, MEMPHIS, TN 38117-4333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3853-16
MS
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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