Individual provider · Type 1 NPI

Mark Steven Moeller, DDS

Pediatric Dentistry · La Crosse, WI

NPI number 1083895510 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X09067 (IA)
Dentist 122300000X1001156 (WI)
Pediatric Dentistry 1223P0221XS25 (MN)
Pediatric Dentistry Primary 1223P0221X1001156 (WI)

Pediatric Dentistry: 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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About NPI 1083895510

Mark Steven Moeller, DDS's National Provider Identifier is 1083895510, issued on Nov 27, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in La Crosse, WI. The record was last updated on Dec 19, 2018.