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Dr. Jason Rusk Moffitt, DDS
Dental Assistant in Spokane, Washington
NPI 1871683359

Jason Rusk Moffitt is a Dental Assistant based in Spokane, WA. Jason Rusk Moffitt practices in Spokane, WA and has the professional credentials of DDS. The NPI Number for Jason Rusk Moffitt is 1871683359 and holds a License No. 025103DE00007948 (Washington).

The current practice location address for Jason Rusk Moffitt is 520 S Cowley St, Spokane, WA and can be reached out via phone at 509-838-1445 and via fax at 509-455-8955. You can also correspond with Jason Rusk Moffitt through the mailing address at 520 S COWLEY ST., SPOKANE, WA - 99202-1395 (mailing address contact number: 509-838-1445).

Location: 520 S Cowley St, Spokane, WA, 99202-1395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871683359
Provider Name
Jason Rusk Moffitt
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
520 S Cowley St, Spokane, WA, 99202-1395
Phone Number
509-838-1445
Fax Number
509-455-8955
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5036652 05 WA
institution
Provider Business Practice Location Address Details
Address
520 S Cowley St
City
Spokane
State
Washington
Zip
99202-1315
Phone Number
509-838-1445
Fax Number
509-455-8955
person
Provider Business Mailing Address Details
Address
520 S Cowley St.
City
Spokane
State
Washington
Zip
99202-1395
Phone Number
509-838-1445
Fax Number
509-455-8955
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
DH00001904 (Washington)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dental Assistant
Speciality
-
Taxonomy
126800000X
License No.
025103DE00007948 (Washington)
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
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