Individual
ANDREW R MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
502 JEFFERSON HWY, CHAMPLIN, MN 55316
(763) 427-1311
(763) 427-1315
Mailing address
502 JEFFERSON HWY, CHAMPLIN, MN 55316
(763) 427-1311
(763) 427-1315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12062
MN
1223P0700X
Prosthodontics
12062
MN
Other
Enumeration date
10/31/2006
Last updated
09/11/2025
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