MICHAEL W. MOFFITT DDS
NPI 1205093903
Clinic/Center - Dental in Eagle Grove, IA

Active since May 20, 2008
422 W BROADWAY ST, EAGLE GROVE, IA 50533(515) 448-4852(515) 448-3533 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Michael W. Moffitt Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL W. MOFFITT DDS (NPI 1205093903) is a healthcare organization registered as a dental in Eagle Grove, Iowa and active in the NPI registry since May 2008. The organization lists Michael Walter Moffitt, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1205093903
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMOFFITT DENTAL CENTER
Location Address422 W BROADWAY STEagle Grove, IA 50533-1704
Mailing Address422 W Broadway StEagle Grove, IA 50533-1704 · (515) 448-4852 · Fax (515) 448-3533
Fax(515) 448-3533
Organization SubpartNo
Authorized OfficialMichael Walter MoffittOwner/doctor · (515) 448-4852
Enumeration DateMay 20, 2008
NPI 1205093903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in IA · 6102
422 W BROADWAY ST, Eagle Grove, IA 50533

Other Names 1

Other NameMichael W. Moffitt Dds

Other Identifiers 4

Other1613IA · American College Of Prosthodontics
Other14800IA · Wellmark Blue Cross/blue Shield
Medicaid0148007IA
Other010720525IA · American Dental Association

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Prosthodontics)
422 W BROADWAY ST
EAGLE GROVE, IA 50533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moffitt Dental Center's NPI number?

The NPI number for Moffitt Dental Center is 1205093903. It was assigned to this organization in the NPPES registry on May 20, 2008. The provider is also known as Michael W. Moffitt Dds.

Where is Moffitt Dental Center located?

Moffitt Dental Center is located at 422 W Broadway St, Eagle Grove, IA 50533. The listed phone number is (515) 448-4852.

What is Moffitt Dental Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Moffitt Dental Center was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.