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NPI Code Detail

MEDICARE: DR. JEFF E MOXLEY DDS

MEDICARE:  DR. JEFF E MOXLEY  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)2886 (S2-25)NV

General Provider Information

NPI Number : 1124040969
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFF E MOXLEY DDS
Provider Business Mailing Address
First Line : 3663 E SUNSET RD
Second Line : SUITE 403
City : LAS VEGAS
State : NV
Zip : 89120-3218
Country : US
Telephone Number : 702-898-8350
Fax Number : 702-898-8392
Provider Business Practice Location Address
First Line : 3663 E SUNSET RD
Second Line : SUITE 403
City : LAS VEGAS
State : NV
Zip : 89120-3218
Country : US
Telephone Number : 702-898-8350
Fax Number : 702-898-8392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JEFF E MOXLEY DDS” Practice Location

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