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

Primary practice address
1836 South Ave La Crosse WI 54601-5429
Phone: (608) 782-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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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