NPI 1558789891

William Gardner Moll, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Schererville, IN

Practice location

Address: 601 W US Highway 30, Schererville, IN 46375-2656
Phone: (219) 322-0501

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 12012169A (IN)

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Registry record

NPI: 1558789891
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2014
Record last updated: 26 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.