DR. BONNIE J MOELLER (NPI# 1134359698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134359698 |
| Entity Type | Individual |
| Full Name | DR. BONNIE J MOELLER |
| Credential | D.D.S. |
| Practice Address |
433 30th St Astoria OR 97103-2807 |
| Practice Telephone | 5033386000 |
| Practice Fax Number | 5033386600 |
| Mailing Telephone | 5033386000 |
| Mailing Fax Number | 5033386600 |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2009-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9297 | OR | Dental Providers |
| Street Address |
433 30TH ST |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386688059 | Jennifer L. Harr | Dentist | 433 30th St, Astoria, OR 97103-2807 | 2006-06-15 |
| 1962011817 | Atef Monier Rezk Masak | Dentist | 433 30th St, Astoria, OR 97103-2807 | 2020-07-27 |
| 1194299271 | Arrow Dental LLC | Dentist | 433 30th St, Astoria, OR 97103-2807 | 2019-01-11 |
| 1497278394 | Heather Renee Flowers | Dentist | 433 30th St, Astoria, OR 97103-2807 | 2017-07-23 |
| 1619386216 | Wesley D Wermuth | Student in an Organized Health Care Education/Training Program | 433 30th St, Astoria, OR 97103-2807 | 2014-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| 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 |
|---|---|---|---|---|
| 1669851408 | Polina Chernyak | Dentist | 2181 38th St Apt 19, Astoria, NY 11105-1813 | 2015-05-27 |
| 1992077523 | Fatima De Lima | Dentist | 3190 31st St, #1a, Astoria, NY 11106-2536 | 2012-01-27 |
| 1871801738 | Mohammad Alavi | Dentist | 23-42 38th Street, Astoria, NY 11105 | 2010-09-14 |
| 1558677864 | Steinway 26 Dentistry PC | Dentist | 3027 Steinway St, Astoria, NY 11103-3801 | 2010-08-24 |
| 1255645768 | Rachana Waghela | Dentist | 1456 31st Dr, Apt 5e, Astoria, NY 11106-4569 | 2010-07-27 |
| 1588997621 | Drilona Sheti | Dentist | 2120 Broadway, Astoria, NY 11106-4533 | 2009-09-08 |
| 1861624405 | Ji Eun Park | Dentist | 25-37 Broadway, Astoria, NY 11106 | 2009-08-16 |
| 1033365887 | Lara Mikhail | Dentist | 2388 23rd St Apt 3, Astoria, NY 11105-3411 | 2008-08-12 |
| 1659538817 | Peter John Koubsky | Dentist | 2201 31st St, Astoria, NY 11105-2713 | 2008-05-16 |
| 1831387281 | Mohammad Nayeem | Dentist | 3317 30th Ave, Astoria, NY 11103-4601 | 2007-10-11 |
| Find all providers in ASTORIA | ||||
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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.