Active NPIIndividual provider

Dr. Michael Moll, DDS

Dentist in Revere, Massachusetts

NPI Number1700943420
Practice location
7 Foster St, Suite 1, Revere, MA 02151-3419
Fax
781-289-3200
Last updated
July 8, 2007

Michael Moll is a Dentist based in Revere, MA. Michael Moll practices in Revere, MA and has the professional credentials of DDS. The NPI Number for Michael Moll is 1700943420 and holds a License No. 11122 (MA). The current practice location address for Michael Moll is 7 Foster St, Suite 1, Revere, MA 02151-3419 and can be reached out via phone at 781-289-3200 and via fax at 781-289-3200.

Provider Profile Details

NPI Number
1700943420
Provider Name
Michael Moll
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7 Foster St, Suite 1, Revere, MA 02151-3419
Phone Number
781-289-3200
Fax Number
781-289-3200
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
January 2, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Foster St
Suite 1
Revere, MA 02151-3419
City
Revere
Zip
02151-3419
Phone Number
781-289-3200
Fax Number
781-289-3200
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
7 Foster St
Suite 1
Revere, MA 02151-3419
City
Revere
State
MA
Zip
02151-3419
Phone Number
781-289-3200
Fax Number
781-289-3200

License Information

License Number
11122
License State
MA
Taxonomy
Dentist · 122300000X · 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. Michael Moll, DDS?

The NPI number of Dr. Michael Moll, DDS is 1700943420. It was assigned on January 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael Moll, DDS?

Dr. Michael Moll, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 11122.

Where does Dr. Michael Moll, DDS practice?

The practice location is 7 Foster St, Suite 1, Revere, MA 02151-3419. The office can be reached at 781-289-3200 (phone) or 781-289-3200 (fax).

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 1700943420 directly on the NPPES registry website.

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