Kathleen M Moen is a Dentist in Avon, Minnesota. Kathleen M Moen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kathleen M Moen is 1891785226. The last update date is 2007-11-26.
Kathleen M Moen's current location address is Po Box 181, Avon, Minnesota. You can contact this provider via phone number 3203567374 and fax number 3203569427. The mailing address for Kathleen M Moen is Po Box 181, Avon, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen M Moen |
|---|---|
| Address | Po Box 181, Avon, Minnesota |
| Phone Number | 3203567374 |
| Fax Number | 3203569427 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1891785226 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2007-11-26 |
Provider Mailing Address Detail
| Address | Po Box 181 |
|---|---|
| City | Avon |
| State | Minnesota (MN) |
| Post Code | 563100181 |
| Phone Number | 3203567374 |
| Fax Number | 3203569427 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10962 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Kathleen M Moen by the Centers for Medicare & Medicaid Services (CMS)?
The Kathleen M Moen has been assigned the NPI (National Provider Identifier) 1891785226. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Kathleen M Moen is physically located?
The Kathleen M Moen is situated at the following address: Po Box 181, Avon, MN 563100181.
What is the Kathleen M Moen's area of specialization and corresponding taxonomy classification?
The Kathleen M Moen's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Kathleen M Moen receive its 1891785226 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen M Moen was assigned its 1891785226 on 2005-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kathleen M Moen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathleen M Moen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-26.