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Dr. Ryan C Moffat, DDS
Pediatric Dentist in Draper, Utah
NPI 1326056300

Ryan C Moffat is a Pediatric Dentist based in Draper, UT and is specialized in Pediatric Dentistry. Ryan C Moffat practices in Draper, UT and has the professional credentials of DDS. The NPI Number for Ryan C Moffat is 1326056300 and holds a License No. 5832460 (Utah).

The current practice location address for Ryan C Moffat is 114 E 12450 S, Draper, UT and can be reached out via phone at 801-495-1610 and via fax at 801-495-1631.

Location: 114 E 12450 S, Draper, UT, 84020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326056300
Provider Name
Ryan C Moffat
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
114 E 12450 S, Draper, UT, 84020
Phone Number
801-495-1610
Fax Number
801-495-1631
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
960296 01 AZ AHCCCS
1749089 01 UNITED CONCORDIA
58324609900001 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
114 E 12450 S
City
Draper
State
Utah
Zip
84020
Phone Number
801-495-1610
Fax Number
801-495-1631
person
Provider Business Mailing Address Details
Address
114 E 12450 S
City
Draper
State
Utah
Zip
84020
Phone Number
801-495-1610
Fax Number
801-495-1631
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
5832460 (Utah)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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