MEDICARE: DR. JAMIE MOYER 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	122300000X	Dentist	056743	NY
2	122300000X	Dentist	DN20548	FL
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1740547140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE MOYER DMD

Provider Business Mailing Address
First Line	:	224 SE 1ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131-1902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13590 S JOG RD STE 7
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3807
Country	:	US
Telephone Number	:	561-499-1199
Fax Number	:

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

Provider Enumeration Date	:	04/23/2012
Last Update Date	:	04/29/2026

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