Mark Steven Moeller in La Crosse - Pediatric Dentistry

Mark Steven Moeller - NPI 1083895510

Mark Steven Moeller is a Pediatric Dentistry in La Crosse, Wisconsin. Mark Steven Moeller practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mark Steven Moeller is 1083895510. The last update date is 2018-12-19.

Mark Steven Moeller's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Mark Steven Moeller is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Steven Moeller
Address 1836 South Ave, La Crosse, Wisconsin
Phone Number 6087827300
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1083895510
Provider Enumeration Date 2007-11-27
Last Updated Date 2018-12-19

Provider Mailing Address Detail

Address 1836 South Ave
City La Crosse
State Wisconsin (WI)
Post Code 546015429
Phone Number 6087827300
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No S25
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Mark Steven Moeller

What is the unique provider identifier assigned to Mark Steven Moeller?

The Mark Steven Moeller has been issued the NPI (National Provider Identifier) 1083895510 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Mark Steven Moeller is geographically located?

The Mark Steven Moeller is physically situated at the following location: 1836 South Ave, La Crosse, WI, 546015429.

What is Mark Steven Moeller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mark Steven Moeller is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083895510 to Mark Steven Moeller?

The Mark Steven Moeller received its 1083895510 assignment from the Centers for Medicare & Medicaid Services on 2007-11-27.

When was the information pertaining to Mark Steven Moeller most recently updated or revised?

The details related to Mark Steven Moeller, including its address, specialty, and other relevant information, were last updated or revised on 2018-12-19.

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