Individual provider · Type 1 NPI
Sergio Mauricio Moeller Zevallos, DDS, MS
Prosthodontics · Ann Arbor, MI
NPI number
1790970663
Active
Practice location
2509 S State St
Ann Arbor, MI 48104-6145
Fax (734) 662-1518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 2901018235 (MI) |
| General Practice Dentistry | 1223G0001X | 2901018235 (MI) |
| Prosthodontics Primary | 1223P0700X | 2901018235 (MI) |
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.
2 other providers at this address
Other prosthodontics providers in Ann Arbor
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- Sun-Yung Bak, DDSProsthodontics Ann Arbor, MI NPI 1255343075
- Amanda Sotillo, MSProsthodontics Ann Arbor, MI NPI 1386483063
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- Priscila Ceolin Meneghetti, DDS, MSProsthodontics Ann Arbor, MI NPI 1558024810
- Zhiqiang LuoProsthodontics Ann Arbor, MI NPI 1629891270
- Kevin M. Sloan, DDS, M.S.Prosthodontics Ann Arbor, MI NPI 1679577266
About NPI 1790970663
Sergio Mauricio Moeller Zevallos, DDS, MS's National Provider Identifier is 1790970663, issued on Sep 13, 2007. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Ann Arbor, MI. The record was last updated on Dec 1, 2016.