Individual provider · Type 1 NPI

Kayla Lynn Moller, DDS, MS

Pediatric Dentistry · Chicago, IL

NPI number 1114507779 Active

Practice location

2127 W Chicago Ave
Chicago, IL 60622-5295

Call (773) 904-0095 Map

Mailing address

1164 W Madison St Unit 326
Chicago, IL 60607-3867

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X019033662 (IL)

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 1114507779

Kayla Lynn Moller, DDS, MS's National Provider Identifier is 1114507779, issued on Apr 8, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Chicago, IL. The record was last updated on Jul 13, 2023.