IndividualActive
Andrew Moffitt, DDS MS
NPI 1851477020 · General Practice Dentistry · Champlin, MN
Provider details
- NPI number
- 1851477020
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS MS
- Sex
- Male
- Sole proprietor
- No
- License
- 12062 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
502 Jefferson Hwy
Champlin, MN 55316
Phone: (763) 427-1311
Fax: (763) 427-1315
Approximate (ZIP-level) locationGet directions
Mailing address
502 Jefferson Hwy
Champlin, MN 55316
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.