Sergio Mauricio Moeller Zevallo in Ann Arbor - Prosthodontics
Sergio Mauricio Moeller Zevallo - NPI 1790970663
Sergio Mauricio Moeller Zevallo is a Prosthodontics in Ann Arbor, Michigan. Sergio Mauricio Moeller Zevallo practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Sergio Mauricio Moeller Zevallo is 1790970663. The last update date is 2016-12-01.
Sergio Mauricio Moeller Zevallo's current location address is 2509 S State St, Ann Arbor, Michigan. You can contact this provider via phone number 7346627874 and fax number 7346621518. The mailing address for Sergio Mauricio Moeller Zevallo is 2509 S State St, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sergio Mauricio Moeller Zevallo |
|---|---|
| Address | 2509 S State St, Ann Arbor, Michigan |
| Phone Number | 7346627874 |
| Fax Number | 7346621518 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1790970663 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2016-12-01 |
Provider Mailing Address Detail
| Address | 2509 S State St |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481046145 |
| Phone Number | 7346627874 |
| Fax Number | 7346621518 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 2901018235 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique identification code assigned to Sergio Mauricio Moeller Zevallo by the Centers for Medicare & Medicaid Services?
The Sergio Mauricio Moeller Zevallo has been issued the NPI (National Provider Identifier) 1790970663. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sergio Mauricio Moeller Zevallo's facilities are situated?
The facilities of Sergio Mauricio Moeller Zevallo are physically located at the following address: 2509 S State St, Ann Arbor, MI, 481046145.
What is Sergio Mauricio Moeller Zevallo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sergio Mauricio Moeller Zevallo's specialized field of practice is Prosthodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790970663 to Sergio Mauricio Moeller Zevallo?
The Sergio Mauricio Moeller Zevallo received its 1790970663 assignment from the Centers for Medicare & Medicaid Services on 2007-09-13.
When was the information pertaining to Sergio Mauricio Moeller Zevallo most recently updated or revised?
The details related to Sergio Mauricio Moeller Zevallo, including its address, specialty, and other relevant information, were last updated or revised on 2016-12-01.
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