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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK STEVEN MOELLER, DDS

Active

DR. MARK STEVEN MOELLER, DDS is a Pediatric Dentistry healthcare provider located in LA CROSSE, Wisconsin. NPI 1083895510 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · LA CROSSE, WI

Registration Details

NPI Number
1083895510
Provider Type
Individual
Gender
Male
NPI Issued
Nov 27, 2007 (18.731836565329 yrs)
Last Updated
Dec 19, 2018
Licenses
09067 (IA)
1001156 (WI)
S25 (MN)
1001156 (WI)

Practice Information

Address
1836 SOUTH AVE
LA CROSSE, WI, 546015429
Browse WI providers · Browse ZIP 54601
Phone
6087827300
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Dentist
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in LA CROSSE, WI

Name Credential NPI
MICHAEL P FUNK DDS 1881690170
JOHN H. BETZ DDS 1679662324
JINGQI JIA DDS 1245979657
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.