Mark Moan is a General Practice in Lake Saint Louis, Missouri. Mark Moan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Moan is 1992716252. The last update date is 2007-07-08.
Mark Moan's current location address is 51 Saybridge Manor Pkwy, Lake Saint Louis, Missouri. You can contact this provider via phone number 6369492587. The mailing address for Mark Moan is 51 Saybridge Manor Pkwy, Lake Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Moan |
|---|---|
| Address | 51 Saybridge Manor Pkwy, Lake Saint Louis, Missouri |
| Phone Number | 6369492587 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1992716252 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 51 Saybridge Manor Pkwy |
|---|---|
| City | Lake Saint Louis |
| State | Missouri (MO) |
| Post Code | 633671806 |
| Phone Number | 6369492587 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2000161564 |
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Definition: 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. |
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What is the unique 10-digit identifier code issued to Mark Moan by the Centers for Medicare & Medicaid Services?
The Mark Moan has been assigned the NPI (National Provider Identifier) 1992716252 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark Moan's facilities are situated?
The facilities of Mark Moan are physically located at the following address: 51 Saybridge Manor Pkwy, Lake Saint Louis, MO, 633671806.
What is Mark Moan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Moan's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992716252 to Mark Moan?
The Mark Moan received its 1992716252 assignment from the Centers for Medicare & Medicaid Services on 2006-08-11.
When was the information related to Mark Moan most recently updated or refreshed?
The details pertaining to the Mark Moan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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