MEDICARE: WESLEY B MOFFETT DMD

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
1	1223G0001X	General Practice Dentistry	5525	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51539328	OTHER	AL	BCBSANNISTON
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	51539329	OTHER	AL	BCBSHEFLIN
6	51539350	OTHER	AL	BCBSTALLADEGA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336271550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WESLEY B MOFFETT DMD

Provider Business Mailing Address
First Line	:	5528 1ST AVE N
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35212-2445
Country	:	US
Telephone Number	:	205-592-2255
Fax Number	:	205-592-3352

Provider Business Practice Location Address
First Line	:	5528 1ST AVE N
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35212-2445
Country	:	US
Telephone Number	:	205-592-2255
Fax Number	:	205-592-3352

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	10/11/2007

Similar Medicare Providers

1497837553 — PROACT DENTAL, INC.
Practice Location Address:

5528 1ST AVE N
BIRMINGHAM, AL
35212-2445

Practice Phone: 205-592-2255
Practice Fax: 205-592-3352

1871802678 — DR. KYLE REED DMD
Practice Location Address:

5528 1ST AVE N
BIRMINGHAM, AL
35212-2445

Practice Phone: 205-592-2255
Practice Fax:

1659720415 — DR. THOMAS BRENT CHURCH D.M.D.
Practice Location Address:

5528 1ST AVE N
BIRMINGHAM, AL
35212-2445

Practice Phone: 205-592-2255
Practice Fax:

1932891819 — WARREN SMITH DMD
Practice Location Address:

100 57TH ST S
BIRMINGHAM, AL
35212-2541

Practice Phone: 205-591-1101
Practice Fax:

1922934231 — KAITLIN FISHER COUNSELING
Practice Location Address:

5327 7TH AVE S
BIRMINGHAM, AL
35212-3907

Practice Phone: 334-791-4720
Practice Fax:

1871675066 — THE ARC OF CENTRAL ALABAMA INC
Practice Location Address:

6001 CRESTWOOD BLVD
BIRMINGHAM, AL
35212-4203

Practice Phone: 205-316-9939
Practice Fax: 205-961-3007

Directions to “ WESLEY B MOFFETT DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.