Active NPIIndividual providerSole proprietor

Dr. Lucien A Moolenaar II, DDS

Dentist, General Practice in Charlotte Amalie, U.S. Virgin Islands

NPI Number1629494372
Practice location
1403 4TH Street, Sugar Estate, Charlotte Amalie, VI 00802
Fax
—
Last updated
March 10, 2014

Lucien Alanzo Moolenaar is a Dentist, General Practice based in Charlotte Amalie, VI. Lucien Alanzo Moolenaar practices in Charlotte Amalie, VI and has the professional credentials of DDS. The NPI Number for Lucien Alanzo Moolenaar is 1629494372 and holds a License No. 95 (VI). The current practice location address for Lucien Alanzo Moolenaar is 1403 4TH Street, Sugar Estate, Charlotte Amalie, VI 00802 and can be reached out via phone at 340-228-8800.

Provider Profile Details

NPI Number
1629494372
Provider Name
Lucien Alanzo Moolenaar
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1403 4TH Street, Sugar Estate, Charlotte Amalie, VI 00802
Phone Number
340-228-8800
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 5, 2014
Last Update Date
March 10, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1403 4TH Street, Sugar Estate
Charlotte Amalie, VI 00802
Zip
00802
Phone Number
340-228-8800
Charlotte Amalie, VI 00802Get directions →

Provider Business Mailing Address Details

Address
Po Box 302275
Charlotte Amalie, VI 00803-2275
City
Charlotte Amalie
State
VI
Zip
00803-2275
Phone Number
340-228-8800

License Information

License Number
95
License State
VI
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lucien A Moolenaar II, DDS?

The NPI number of Dr. Lucien A Moolenaar II, DDS is 1629494372. It was assigned on March 5, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Lucien A Moolenaar II, DDS?

Dr. Lucien A Moolenaar II, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in VI under license number 95.

Where does Dr. Lucien A Moolenaar II, DDS practice?

The practice location is 1403 4TH Street, Sugar Estate, Charlotte Amalie, VI 00802. The office can be reached at 340-228-8800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629494372 directly on the NPPES registry website.

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