Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Moorhead, DMD

Individual provider General Practice Dentistry · NPI 1922746858

Jacob Moorhead, DMD is a General Practice Dentistry in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1130 S Country Club Dr Ste 101
Mesa, AZ 85210-4639
Phone: (480) 461-9866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D011356 (AZ)

Record details

NPI number1922746858
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 20, 2022
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023
Mailing address1130 S Country Club Dr Ste 101, Mesa, AZ 85210-4639

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