Moll, Alysha R

Moll, Alysha R is an individual health care provider with primary practice located at 7141 Indianapolis Blvd , Hammond IN 46324-2220. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Moll, Alysha R can be contacted via phone (219) 844-3635.

Contact Information

Primary practice address
7141 Indianapolis Blvd Hammond IN 46324-2220
Phone: (219) 844-3635
Fax: (219) 845-3635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12012154A Indiana
Dental Providers / General Practice 1223G0001X 1202154A Indiana

Profile Details

NPI number 1922415561
LBN Legal business name Moll, Alysha R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2014
Last updated May 19th, 2021 - about 4 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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