Individual
DR. PHILLIP VAUGHN MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 WILLOUGHBY AVE STE 208, JUNEAU, AK 99801
(907) 586-1385
Mailing address
400 WILLOUGHBY AVE STE 208, JUNEAU, AK 99801
(907) 586-1385
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
AK0450
AK
1223G0001X
General Practice Dentistry
Primary
AK0450
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD0450
—
AK
Enumeration date
12/05/2006
Last updated
09/11/2025
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