Moeller, Jennifer

Moeller, Jennifer is an individual health care provider with primary practice located at 111 E Wacker Dr Ste 23 , Chicago IL 60601-3713. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is her primary health care specialty. Moeller, Jennifer can be contacted via phone (312) 938-3999.

Contact Information

Primary practice address
111 E Wacker Dr Ste 23 Chicago IL 60601-3713
Phone: (312) 938-3999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.033187 Illinois
Dental Providers / Prosthodontics 1223P0700X 2901600506 Michigan
Dental Providers / Prosthodontics 1223P0700X 021.003106 Illinois

Profile Details

NPI number 1336672831
LBN Legal business name Moeller, Jennifer
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2017
Last updated Jul 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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