DR. MICHAEL MOLL (NPI# 1700943420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700943420 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MOLL |
| Credential | DDS |
| Practice Address |
7 Foster St Suite 1 Revere MA 02151-3419 |
| Practice Telephone | 7812893200 |
| Practice Fax Number | 7812893200 |
| Mailing Telephone | 7812893200 |
| Mailing Fax Number | 7812893200 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11122 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0225894 | 05 | |
| BLUE CROSS BLUE SHIELD | X03814 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467509182 | Michael Moll | Specialist/Technologist | 1440 Monroe St, Madison, WI 53711-2051 | 2007-01-04 |
| 1932731817 | Michael F Moll | Emergency Medicine | 916 Olive St, Saint Louis, MO 63101-1400 | 2020-02-07 |
| 1104107887 | Michael D Moll | Pharmacist | 520 Convery Blvd, Perth Amboy, NJ 08861-3021 | 2011-09-08 |
| 1609884881 | Michael A Moll | Family Medicine | 23400 Us Highway 160, Walsenburg, CO 81089-8100 | 2006-08-04 |
| Street Address |
7 FOSTER ST SUITE 1 |
| City | REVERE |
| State | MA |
| Zip Code | 02151-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982758777 | Jurgina Elezi | Dentist | 7 Foster St, Suite 1, Revere, MA 02151-3419 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853580 | Carla Richman | Behavioral Analyst | 29 Arnold Street, Revere, MA 02151 | 2018-06-05 |
| 1558859850 | Citizens Physical Therapy Inc | Clinic/Center | 221 Beach St, Revere, MA 02151 | 2018-04-23 |
| 1396254892 | Holness Home Care | Home Health | 959 Revere Beach Parkway, Revere, MA 02151 | 2017-09-27 |
| 1841709938 | Stefanie Finocchio-durham | Acupuncturist | 107 Pearl Ave, Apt 3, Revere, MA 02151 | 2017-09-21 |
| 1174064265 | Hope Noelle Crowe | Behavioral Analyst | 164 Winthrop Parkway, Revere, MA 02151 | 2017-03-09 |
| 1033660469 | Driss Bahraoui | Interpreter | 21 Thornton St #1, Revere, MA 02151 | 2016-10-20 |
| 1568910081 | Lindsey J. Ellermeyer | Student in an Organized Health Care Education/Training Program | Revere Community Counseling, 265 Beach Street, Revere, MA 02151 | 2016-09-13 |
| 1851743470 | Jacqueline Galvez | Counselor | 252 Proctor Ave # 3, Revere, MA 02151 | 2016-07-07 |
| 1518321090 | Kathleen Elizabeth Pellecchia | Health Educator | 454 Broadway Fl 3, Revere, MA 02151 | 2016-04-11 |
| 1780098814 | David A Gross | Internal Medicine | Mgh Revere, 385 Broadway, Revere, MA 02151 | 2014-06-17 |
| Find all providers in zip 02151 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005207 | All Dental of Revere | Dentist | 370 Broadway, Revere, MA 02151-5016 | 2015-10-16 |
| 1083020283 | Ryan Matthew Kirschner | Dentist | 21 Overlook Ridge Ter Unit 208, Revere, MA 02151-1192 | 2014-07-08 |
| 1073784344 | Albert A Bonasoro Jr. | Dentist | 519 Malden St, Revere, MA 02151-1860 | 2008-03-14 |
| 1891873899 | Olufemi A Oguntolu | Dentist | 252 Squire Rd, Revere, MA 02151-4311 | 2006-11-01 |
| 1902816226 | Craig Alfred Costanza | Dentist | 48 Newhall St, Revere, MA 02151 | 2006-08-09 |
| 1669496428 | Gennaro Loiis Cataldo | Dentist | 54 Newhall St, Revere, MA 02151-2327 | 2006-07-26 |
| 1326647405 | Alicia Kim | Dentist | 651 Squire Rd, Revere, MA 02151-1866 | 2020-10-20 |
| 1568023695 | Nathan Jang | Dentist | 651 Squire Rd, Revere, MA 02151-1866 | 2019-06-28 |
| 1275042723 | Kanika Vaswani | Dentist | 651 Squire Rd, Revere, MA 02151-1866 | 2017-09-27 |
| 1407393127 | Annese Dmd LLC | Dentist | 106 Broadway, Revere, MA 02151-5305 | 2017-01-20 |
| Find all providers in REVERE | ||||
Please comment or provide details below to improve the information on DR. MICHAEL MOLL.
| 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.