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Deactivated NPI 1962528554 Deactivated / Inactive NPI Male Practitioner

Dr. James D Moffitt , DDS

Dentist - General Practice • Bryan, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Moffitt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2007
NPI Deactivation Date January 09, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. James Moffitt, DDS was a registered Dentist - General Practice practicing in Bryan, TX. Throughout an active medical career spanning 18 years, Dr. Moffitt provided care at the practice location at 1126 E VILLA MARIA RD until profile deactivation on 2025-01-09.

Practice Location & Contact Primary Location

Practice Address

1126 E Villa Maria Rd

Bryan, TX 778022444

Telephone 9797761976
Fax 9797749090
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bryan, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
38 Specialists

Practicing in Bryan, TX (10570 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 8069

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

1 Associated Practitioners
NPI 1649603838

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 09, 2025

Record deactivated on January 09, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1126 E VILLA MARIA RD, BRYAN, TX 778022444 (Tel: 9797761976)

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Updated Business Mailing Address July 08, 2007

Registered at 1126 E VILLA MARIA RD, BRYAN, TX 778022444 (Tel: 9797761976)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES MOFFITT, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #8069 in TX)

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Initial NPI Registration & Enumeration March 22, 2007

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: 1962528554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: July 08, 2007
Deactivation Date: January 09, 2025

Mailing Address

1126 E Villa Maria Rd

Bryan, TX 778022444

Phone: 9797761976

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.