Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326056300 Individual Practitioner Male Practitioner

Dr. Ryan C Moffat , DDS

Dentist - Pediatric Dentistry • Draper, UT

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Moffat, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Draper, UT. Practice services are available at 114 E 12450 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

114 E 12450 S
Suite 200

Draper, UT 84020

Telephone 8014951610
Fax 8014951631
Associated Practice Facility / Clinic
🏢 Adventure Dental Facility NPI 1790793776

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Draper, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Draper, UT (144 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 - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License UT 5832460

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ahcccs
960296 (AZ)
Commercial Insurance / Payer ID United Concordia
1749089
Commercial Insurance / Payer ID Blue Cross
58324609900001

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Michael Christensen , DDS

Dentist - Pediatric Dentistry

NPI 1275821415

Doctor of Dental Surgery

Dr. Brent Dehart , DDS

Dentist - Pediatric Dentistry

NPI 1336157312

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 114 E 12450 S, SUITE 200, DRAPER, UT 84020 (Tel: 8014951610)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 830, DRAPER, UT 84020 (Tel: 8014951610)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RYAN MOFFAT, DDS

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

Dentist (License #5832460 in UT)

🟢
Initial NPI Registration & Enumeration August 04, 2006

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: 1326056300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 830

Draper, UT 84020

Phone: 8014951610

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.