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Shawn Moffett
Student in an Organized Health Care Education/Training Program in Lackland Afb, Texas
NPI 1558981829

Shawn Moffett is a Student in an Organized Health Care Education/Training Program based in Oklahoma City, TX. Shawn Moffett practices in Lackland Afb, TX. The NPI Number for Shawn Moffett is 1558981829 and holds a License No. 7318 (Texas).

The current practice location address for Shawn Moffett is 2133 Pepperrell St, Lackland Afb, TX and can be reached out via phone at 210-292-3789.

Location: 2133 Pepperrell St, Lackland Afb, TX, 73117-1214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558981829
Provider Name
Shawn Moffett
Credential
Provider Entity Type
Individual
Gender
Male
Address
2133 Pepperrell St, Lackland Afb, TX, 73117-1214
Phone Number
210-292-3789
Fax Number
Provider Enumeration Date
04/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2133 Pepperrell St
City
Lackland Afb
State
Texas
Zip
78236-5313
Phone Number
210-292-3789
Fax Number
person
Provider Business Mailing Address Details
Address
2133 Pepperrell St
City
Lackland Afb
State
Texas
Zip
78236-5313
Phone Number
210-292-3789
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7318 (Oklahoma)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
7318 (Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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