Jared Moberg, DDS in Jacksonville, CA - Dentist

Jared Moberg, DDS is a Dentist based in Jacksonville, California. Jared Moberg is licensed to practice in Michigan (license number 2901021195) and his current practice location is 2005 Knight Lane Building H, Navy Medicine Support Command Attention Medical Staff, Jacksonville, California. He can be reached at his office (for appointments etc.) via phone at (760) 725-3213.

NPI number for Jared Moberg is 1487055950 and his current mailing address is 13128 14th Street, Camp Pendleton, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487055950.

Contact Information

	Jared Moberg, DDS
	2005 Knight Lane Building H, Navy Medicine Support Command Attention Medical Staff, Jacksonville, CA 32212-0140
	(760) 725-3213
	Not Available

Healthcare Provider's Profile

Full Name	Jared Moberg
Gender	Male
Speciality	Dentist
Location	2005 Knight Lane Building H, Jacksonville, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1487055950
Provider Enumeration Date: 09/15/2014
Last Update Date: 09/15/2014

Medical Identifiers

Medical identifiers for Jared Moberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487055950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901021195 (Michigan)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jared Moberg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jared Moberg, DDS 13128 14th Street, Camp Pendleton, CA 92058 Ph: (651) 343-7779	Jared Moberg, DDS 2005 Knight Lane Building H, Navy Medicine Support Command Attention Medical Staff, Jacksonville, CA 32212-0140 Ph: (760) 725-3213

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Jared Moberg, DDS - Dentist in Jacksonville, CA