Individual provider · Type 1 NPI

Jennifer Moeller, DMD

Prosthodontics · Chicago, IL

NPI number 1336672831 Active

Practice location

111 E Wacker Dr Ste 23
Chicago, IL 60601-3713

Mailing address

2335 N Lincoln Ave Apt 1010
Chicago, IL 60614-4796

Other practice locations

  • 14755 Northline Rd, Southgate, MI 48195-2407 · (734) 281-0880
  • 4905 Old Orchard Ctr Ste 728, Skokie, IL 60077-4734 · (847) 676-1432

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019.033187 (IL)
Prosthodontics 1223P0700X2901600506 (MI)
Prosthodontics Primary 1223P0700X021.003106 (IL)

Prosthodontics: 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 tissues with artificial substitutes.

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About NPI 1336672831

Jennifer Moeller, DMD's National Provider Identifier is 1336672831, issued on Apr 11, 2017. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 19, 2021.