Individual
DR. JASON RUSK MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 S COWLEY ST, SPOKANE, WA 99202-1315
(509) 838-1445
(509) 455-8955
Mailing address
520 S COWLEY ST., SPOKANE, WA 99202-1395
(509) 838-1445
(509) 455-8955
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
025103DE00007948
WA
124Q00000X
Dental Hygienist
DH00001904
WA
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5036652
—
WA
Enumeration date
10/13/2006
Last updated
09/11/2025
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