Moffa, Michelle Marie

Moffa, Michelle Marie is an individual health care provider with primary practice located at 403 E 11Th St , Panama City FL 32401-3409. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Moffa, Michelle Marie can be contacted via phone (850) 767-3350.

Contact Information

Primary practice address
403 E 11Th St Panama City FL 32401-3409
Phone: (850) 767-3350
Fax: (850) 872-3353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN21740 Florida

Profile Details

NPI number 1841277407
LBN Legal business name Moffa, Michelle Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2005
Last updated Jun 2nd, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841277407 NPPES
Florida MEDICAID 017722500

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