Individual
DR. H DYKE MOFFATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8816 S PENNSYLVANIA AVE, SUITE 300, OKLAHOMA CITY, OK 73159-5232
(405) 682-4665
(405) 682-0667
Mailing address
8816 S PENNSYLVANIA AVE, SUITE 300, OKLAHOMA CITY, OK 73159-5232
(405) 682-4665
(405) 682-0667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4618
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
557588
UNITED CONCORDIA ID #
OK
Enumeration date
08/08/2006
Last updated
07/08/2007
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