Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922746858 Individual Practitioner Male Practitioner

Dr. Jacob Moorhead , DMD

Dentist - General Practice • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Moorhead, DMD is a registered healthcare professional specializing in Dentist - General Practice in Mesa, AZ. Practice services are available at 1130 S COUNTRY CLUB DR STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1130 S Country Club Dr Ste 101

Mesa, AZ 852104639

Telephone 4804619866
Associated Practice Facility / Clinic
🏢 South Mesa Dental Partners Facility NPI 1053693531

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
228 Specialists

Practicing in Mesa, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D011356

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Tad Olsen

Dentist

NPI 1144756016
NPI 1376926303

Doctor of Dental Medicine

NPI 1962605493

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2022

Registered at 1130 S COUNTRY CLUB DR STE 101, MESA, AZ 852104639 (Tel: 4804619866)

📍
Updated Business Mailing Address May 20, 2022

Registered at 1130 S COUNTRY CLUB DR STE 101, MESA, AZ 852104639 (Tel: 4804619866)

👤
Provider Name / Credentials Updated May 20, 2022

Recorded as JACOB MOORHEAD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2022

Dentist (License #D011356 in AZ)

🟢
Initial NPI Registration & Enumeration May 20, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922746858
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2022
Last Update: May 17, 2023
Sole Proprietor: Yes

Mailing Address

1130 S Country Club Dr Ste 101

Mesa, AZ 852104639

Phone: 4804619866

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.