Active NPIIndividual providerSole proprietor

Dr. Stanislav Moline, DMD, MDS

Dentist, Endodontics in Ellington, Connecticut

NPI Number1821008202
Practice location
2 Chucrh St, # 670, Ellington, CT 06029-0670
Fax
—
Last updated
May 9, 2011

Stanislav Moline is a Dentist, Endodontics based in Ellington, CT. Stanislav Moline practices in Ellington, CT and has the professional credentials of DMD, MDS. The NPI Number for Stanislav Moline is 1821008202 and holds a License No. 009473 (CT). The current practice location address for Stanislav Moline is 2 Chucrh St, # 670, Ellington, CT 06029-0670 and can be reached out via phone at 860-000-0000.

Provider Profile Details

NPI Number
1821008202
Provider Name
Stanislav Moline
Credential
DMD, MDS
Provider Entity Type
Individual
Gender
Male
Address
2 Chucrh St, # 670, Ellington, CT 06029-0670
Phone Number
860-000-0000
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
Yes
Provider Enumeration Date
August 9, 2006
Last Update Date
May 9, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Chucrh St
# 670
Ellington, CT 06029-0670
Zip
06029-0670
Phone Number
860-000-0000
Ellington, CT 06029Get directions →

Provider Business Mailing Address Details

Address
Po Box 670
Ellington, CT 06029-0670
City
Ellington
State
CT
Zip
06029-0670

License Information

License Number
009473
License State
CT
Taxonomy
Dentist, Endodontics · 1223E0200X · 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. Stanislav Moline, DMD, MDS?

The NPI number of Dr. Stanislav Moline, DMD, MDS is 1821008202. It was assigned on August 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Stanislav Moline, DMD, MDS?

Dr. Stanislav Moline, DMD, MDS is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in CT under license number 009473.

Where does Dr. Stanislav Moline, DMD, MDS practice?

The practice location is 2 Chucrh St, # 670, Ellington, CT 06029-0670. The office can be reached at 860-000-0000 (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 1821008202 directly on the NPPES registry website.

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