NPI
Andrew R Moffitt
NPI 1851477020
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DDS MS
- Type
- Individual
- Enumeration date
- 2006-10-31
- Last updated
- 2025-09-11
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Specialties
Licenses
- License MN
- 12062
Location
- Practice location
- 502 Jefferson Hwy
- City
- Champlin MN
- Postal code
- 55316
- Phone
- (763) 427-1311
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Champlin, MN. 339 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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