JENNIFER MOELLER (NPI# 1336672831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336672831 |
| Entity Type | Individual |
| Full Name | JENNIFER MOELLER |
| Credential | DMD |
| Practice Address |
31410 Northwestern Hwy Ste E Farmington Hills MI 48334-2563 |
| Mailing Address |
480 N Main St Apt 711 Royal Oak MI 48067-2185 |
| Practice Telephone | 2486266656 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
2901600506 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093995342 | Jennifer Marie Moeller | Physician Assistant | 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 | 2007-11-04 |
| 1962571059 | Jennifer Rae Moeller | Registered Nurse | N323 Lawn Rd, Seymour, WI 54165-9535 | 2006-11-06 |
| 1710514914 | Jennifer M Moeller | Registered Nurse | 2010 N 88th St, Omaha, NE 68134-6102 | 2020-03-26 |
| 1093185670 | Jennifer Moeller | Physician Assistant | 1150 N 35th Ave, Suite 600, Hollywood, FL 33021-5424 | 2015-09-25 |
| 1871744698 | Jennifer Catherine Moeller | Nurse Anesthetist, Certified Registered | 3333 Burnet Ave., Anesthesia, Ml 2001, Cincinnati, OH 45229-3039 | 2008-10-10 |
| Street Address |
31410 NORTHWESTERN HWY STE E |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821007923 | Rami Jandali | Dentist | 32910 W 13 Mile Rd, Ste B200, Farmington Hills, MI 48334-1982 | 2006-08-07 |
| 1619100286 | Farmington Dental Pllc | Dentist | 34405 W 12 Mile Rd, Suite 187, Farmington Hills, MI 48331-3391 | 2009-08-31 |
| 1306003371 | Ahmadali Maalhagh-fard | Dentist | 34405 W 12 Mile Rd, Farmington Hills, MI 48331-3391 | 2008-05-19 |
| 1023153517 | Marvin Novetsky | Dentist | 32905 W 12 Mile Rd, Suite 420, Farmington Hills, MI 48334-3342 | 2007-02-21 |
| 1952498818 | Joel M. Zahler | Dentist | 31410 Northwestern Hwy, Suite E, Farmington Hills, MI 48334-2563 | 2006-10-10 |
| 1811084767 | Douglas A. Henke | Dentist | 31410 Northwestern Hwy, Suite E, Farmington Hills, MI 48334-2563 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247803 | Neil L Matthews Dds PC | Dentist | 305 Barclay Cir Ste 1004, Rochester Hills, MI 48307-4572 | 2020-02-20 |
| 1780040998 | Minaal Verma | Dentist | 41980 Manor Park Dr, Apt 122, Novi, MI 48375-2775 | 2016-01-05 |
| 1750638995 | David Lawrence Aitken | Dentist | 2021 Timber Point Dr Se, Ada, MI 49301-8323 | 2012-08-07 |
| 1184987075 | Yasser Alali | Dentist | 430 North Telegraph Road, Dearborn, MI 48128 | 2012-06-17 |
| 1013216639 | Prosthetic and Implants Dentistry PC | Dentist | 1206 S Washington Ave, Royal Oak, MI 48067-3222 | 2011-03-22 |
| 1710130174 | Andrew Koran IIi | Dentist | 7346 Park Lake Dr, Dexter, MI 48130-9616 | 2008-10-29 |
| 1225203714 | William H Roedema | Dentist | 3739 Basswood Dr Sw, Grandville, MI 49418-2003 | 2008-04-25 |
| 1679747455 | Michael P. Girskis | Dentist | 37667 Pembroke Ave, Livonia, MI 48152 | 2008-04-14 |
| 1417121294 | Stephen J. Riedy | Dentist | 31544 Schoolcraft Rd, Livonia, MI 48150-1805 | 2008-04-14 |
| 1194993428 | Dental Rehab PC | Dentist | 26699 W 12 Mile Rd Ste 200, Southfield, MI 48034-7815 | 2008-02-20 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.