Moeller, Mark Steven
Moeller, Mark Steven is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Moeller, Mark Steven can be contacted via phone (608) 782-7300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 09067 | Iowa |
| Dental Providers / Dentist | 122300000X | 1001156 | Wisconsin |
| Dental Providers / Pediatric Dentistry | 1223P0221X | S25 | Minnesota |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 1001156 | Wisconsin |
Profile Details
| NPI number | 1083895510 |
|---|---|
| LBN Legal business name | Moeller, Mark Steven |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Dec 19th, 2018 - about 8 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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